• Title/Summary/Keyword: 민감도와 특이도

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Human immunodeficiency virus(HIV) 감염의 혈청학적 검사

  • 김태규
    • The Microorganisms and Industry
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    • v.18 no.2
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    • pp.19-25
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    • 1992
  • 본문에서는 현재 주로 사용되고 있는 혈청학적 방법을 주로 소개하고자 한다. HIV 감염의 특성상 헌혈 혈액 등과 같이 많은 시료를 신속하게 검사하여야 하고 또한 검사결과가 개인에게 매우 중요한 의미를 지니므로 HIV에 대한 혈청학적 검사는 일차적으로 민감도가 높은 검색용 검사를 우선 시행하고 이차적으로 특이도가 높은 확인용 검사를 실시하여 판정하는 것을 원칙으로 하고 있다.

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Ascitic Fluid Analysis for the Differentiation of Malignancy-Related and Nonmalignant Ascites (악성 복수와 비악성 복수의 감별을 위한 복수액 분석)

  • Lee, Eun-Young;Kim, Byeoung-Deok;Choi, Jae-Hyuk;Lee, Sang-Yeop;Ryu, Hun-Mo;Lee, Kyung-Hee;Hyun, Myung-Soo
    • Journal of Yeungnam Medical Science
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    • v.16 no.1
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    • pp.76-84
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    • 1999
  • The differentiation between malignancy-related ascites(MRA) and non-malignant ascites (NMA) is important for further diagnostic and therapeutic purposes. Although many parameters were investigated, none has provided a complete distinction between MRA and NMA. We investigated several ascitic fluid parameters to determine the differential power, and to differentiate malignant-related from nonmalignant-related ascites with a sequence of sensitive parameters followed by specific parameters. For the present study, 80 patients with ascites were divided into two groups: MRA and NMA, The MRA group was consisted of 27 patients with proven malignancy by image study, biopsy, and follow up: 21 of these patients had peritoneal carcinomatosis, but the remaining 6 showed no evidence of peritoneal carcinomatosis. The NMA group was consisted of 53 patients with no evidence of malignancy: among these patients, one had SLE, and others had liver cirrhosis, The samples of blood and ascites were obtained simultaneously, and then the levels of ascites cholesterol, CEA. protein and LDH, cytology, albumin gradient, ascites/serum concen-tration ratios of LDH(LDH A/S), and ascites/serum concentration ratios of protein(protein A/S) were measured. Applying cut-off limits for determined parameters, we estimated the diagnostic efficacy of each parameter, Among the eight parameters investigated, ascites fluid cholesterol yielded the best sensitive value of 93%(cut-off value 30mg/dl), and cytologic examination and the protein A/S(cut-off value 0.5) showed the most specific value of 100% and 96%, respectively. Based on the above results, the diagnostic sequence with cholesterol as a sensitive parameter followed by the combination of cytologic examination and protein A/S as specific parameters, was tested in 80 patients. This diagnostic sequence identified 81.5% of patients with malignancy, and all patients with peritoneal carcinomatosis were classified as malignancy-related ascites. In spite of many limitations, this proposed diagnostic sequence may permit a cost-effective and simple differentiation of malignancy-related ascites from nonmalignant ascites.

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Diagnostic Correlation between Ultrasonography and CT Arthrography in Rotator Cuff Disease (회전근 개 질환에서 초음파 검사와 관절 조영 컴퓨터 단층 촬영의 진단적 가치 비교)

  • Park, Tae Soo;Yoon, Jong Pil;Kim, Hyung Sup;Jeong, Won-Ju
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.6 no.2
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    • pp.53-59
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    • 2013
  • Purpose: The aim of this study wasto evaluate the comparison of CT arthrography and ultrasonography, confirmed by the arthroscopic finding in patients with rotator cuff disease. Materials and Methods: We evaluated fifty seven patients with rotator cuff disease underwent CTA and arthroscopy, and twenty eight patients had taken ultrasonographyadditionally. The diagnostic value and prediction for tear size between CTA and ultrasonography were evaluated, as compared to arthroscopic findings. Results: CTA showed a sensitivity of 86.2% and a specificity of 100% in full thickness tear ofsupraspinatus, a sensitivity of 58.3% and a specificity of 87.8% in partial-thickness tear. CTA demonstrated good diagnostic value for full thickness tear, but there was relatively lower value for partial-thickness tear. Ultrasonography showed a sensitivity of 84.6% and a specificity of 86.7% for diagnosing in full thickness tear, a sensitivity of 84.6% and a specificity of 73.3% in partial-thickness tear. Ultrasonography provided good diagnostic value, but, there is lesser accurate result for prediction of tear size. Conclusion: CTA showedgood diagnostic tool of detection full-thickness tear of rotator cuff disease and predicting of tear size. Comparing with ultrasonography, CTA was inferior for detection of partial-thickness tear, but, provided better estimation for tear size.

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Design of Singularly Perturbed Delta Operator Systems with Low Sensitivity (낮은 민감도를 지니는 특이섭동 델타연산자 시스템의 설계)

  • Shim, Kyu-Hong;Sawan, M.E.;Lee, Kyung-Tae
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.32 no.7
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    • pp.76-82
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    • 2004
  • A method of designing a state feedback gam achieving a specified insensitivity of the closed-loop trajectory by the singularly perturbed unified system using the operators is proposed. The order of system is reduced by the singular perturbation technique by ignoring the fast mode in it. The proposed method takes care of the actual trajectory variations over the range of the singular perturbation parameter. Necessary conditions for optimality are also derived. The previous study was done in the continuous time system The present paper extends the previous study to the discrete system and the ${\delta}-operating$ system that unifies the continuous and discrete systems. Advantages of the proposed method are shown in the numerical example.

Estimation of Defect Rate from the Screening Test - the case of unknown sensitivity and specificity - (스크리닝 검사로부터 불량률 추정에 관한 연구 - 알려지지 않은 민감도와 특이도의 경우 -)

  • 김태규
    • Journal of Korean Society for Quality Management
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    • v.30 no.1
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    • pp.144-151
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    • 2002
  • Consider the problem of estimating the confidence interval of defect rate of a specified population through a screening test. Relationship between defect rate of the population and sensitivity and specificity of the screening test is discussed. More general statistical problem is introduced with the assumption of unknown imperfect specificity. An improved version of Hogan & Gladden(1978)'s estimator is proposed and discussed. Simulation studies are performed to compare the efficiency of the proposed estimator with current estimators.

PCR in diagnosis of pneumocystosis of rats (중합반응을 이용한 흰쥐 페포자충증의 진단)

  • 홍성태
    • Parasites, Hosts and Diseases
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    • v.34 no.3
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    • pp.191-196
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    • 1996
  • Polymerase chain reaction (PCR) is a powerful technique to detect scanty amount of DNA from living organisms. The present study intended to develope specific primers for PCR diagnosis of pneumocystosis and to evaluate diagnostic efficacy by preparation of template DNAs from invasive BAk fluid and also to screen serum or blood as a non-invasive specimen. Albino rats of Wistar or Fischer strains were experimentally infected by Pneumocwstis ccrinii. Extracted DNAs or cell Iysates of their blood, bronchoalveolar lavage fluid, and lung homogenate were used as the tenlplate DNA. Primers were synthetic oligonucleotides among 16s rDNA sequences. All of the primer combinations gave PCR products, but the primer pair of #24 and #27 gave best quality product of 666 bp. The sensitivity of PCR with Iysates of BAk fluid was 57.7% but it increased to 84.6% with extracted DNAs. None of BAL Iysate or DNA was positive among 13 microscopically negatives. The serum DNAs were positive only in 2 cases out of 20 morphologically positive rats. DNAs of human, rat, other parasites, yeast, and microorganisms were negative. The findings suggest that the present primers are specific but simple Iysate of BAL fluid is not sensitive. PCR may be used as a routine diagnostic method of pneumocystosis if simple and rapid preparation of non-invasive clinical specimens are available.

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Validation of Domain Combination Based Protein-Protein Interaction Prediction Method Using Human and Fly Proteins (인간 및 초파리 단백질을 대상으로 한 도메인 조합 기반 단백질-단백질 상호작용 예측 기법 검증)

  • Jang Woo-Hyuk;Han Dong-Soo;Kim Hong-Soog;Lee Sung-Doke
    • Proceedings of the Korean Information Science Society Conference
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    • 2005.11b
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    • pp.235-237
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    • 2005
  • 도메인 조합 기반의 단백질-단백질 상호작용 예측 기법(DCPPIP)은 효모 단백질에 대하여 뛰어난 정확도를 보여준다. 그러나 다른 종에서의 예측 정확도 및 기법의 유효성은 아직까지 검증되지 않고 있다. 본 논문에서는, 초파리 및 인간 단백질을 이용한 예측 정확도 검증 및 이종간의 상호작용 예측 실험의 결과를 기술한다. 초파리와 인간 단백질의 실험에서는 각각 10,351개와 2,345개의 상호작용 단백질 쌍이 사용되었다. 초파리와 인간의 상호작용 단백질 쌍 중 $80\%$$20\%$를 각각 학습집단 및 실험집단으로 사용하였으며. 상호작용이 없는 단백질 쌍의 학습집단은 1배에서 5배까지 변화시키면서 예측 정확도를 관찰하였다. 정확도는 실험집단 중 학습집단과 도메인이 완전히 혹은 부분적으로 겹치는 쌍들에 대하여 계산하였다. 이 결과 초파리에서는 약 $77\%$의 민감도와 $92\%$의 특이도가 확인되었고 인간 단백질에 대하여는 약 $96\%$의 민감도와 $95\%$의 특이도를 보여주었다. 이종간의 상호작용 예측 실험은 효모, 초파리, 효모+초파리에 해당하는 학습집단 각각을 바탕으로 Human, Mouse, H. pylori, E. coli, C. elegans 등의 단백질 상호작용 예측을 수행하였다. 실험 결과 학습집단의 도메인이 실험집단의 도메인과 많이 겹칠 수륵 높은 정확도를 보여주었으며, 도메인 집단간의 유사도를 나타내기 위해 고안한 Domain Overlapping Rate(DOR)는 상호작용 예측 정확도의 중요한 요소임을 찾아 내었다.

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Applicability of ABC-ELISA and Protein A-ELISA in serological diagnosis of cysticercosis (유구낭미충증의 혈청학적 진단을 위한 ABC-ELISA와 Protein A-ELISA의 유용성)

  • Lee, Jong-Hyun;Kong, Yoon;Ryu, Jae-Young;Cho, Seung-Yull
    • Parasites, Hosts and Diseases
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    • v.31 no.1
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    • pp.49-56
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    • 1993
  • Specific antibody test in serum and cerebrosinal fluid (CSF) is still the main mode of serological diagnosis of cystiercosis. Of different techniques of artibody test, enzyme-linked immunosorbent assay (micro-ELISA) has widely been applied. This study was undertaken to observe whether diagnostic capability can be Improved by applying more sensitive techniques such as Protein A-ELISA and avidin biotin complex ELISA (ABC-ELISA). When evaluated using 115 sera of human cysticercosis, the antibody positive rates were not significantly improved in Protein A-ELISA (82.6%) and in ABC-ELISA (86.1%) than in micro-ELISA (81.7%). The specificities, evaluated in 165 sera from other diseases and normal controls, were significantly improved (88.5% by micro-ELISA, 93.3% by Protein A-ELISA and 93.8% by ABC-ELISA). Antibody levels (absorbance, abs.) in individual serum were correlated well (r : 0.83∼0.86) each other. An actual benefit of Protein A-ELISA and ABC-ELISA was that they needed smaller amount of test sample.

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Correlation between Body Fat Percent Estimated by Bioelectrical Impedance Analysis and Other Variable Methods (생체전기 저항법에 의한 체지방율과 다른 계측치간의 상관성 연구)

  • Yom, Hye Won;Kim, Su Jung;Whang, Il Tae;Hong, Young Mi
    • Clinical and Experimental Pediatrics
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    • v.46 no.8
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    • pp.751-757
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    • 2003
  • Purpose : Obesity is a significant health problem with medical and psychological consequences for children and adolescents. The purpose of this study was to assess the correlation between body fat percent using bioelectrical impedance(BI) and other variable methods. Methods : We measured height, weight, body mass index(BMI) and body fat percent by skinfold thickness(ST) and BI in 1,035(496 male; 539 female) children from seven to 18 years of age. The correlation coefficients between BI and each of the other different methods were obtained. The sensitivity and specificity to predict obesity by these several methods were studied. Results : Fat percent estimated by BI analysis and BMI showed a strong correlation(r=0.749). Fat percent estimated by BI analysis and ST showed a very strong correlation(r=0.835). At the 95th percentile cut-off point for BI, ST showed a sensitivity of 57.7%, and a specificity of 97.6% for estimating body fat. At the 95th percentile cut-off point for BI, BMI showed a sensitivity of 84.9%, and a specificity of 99.3% for estimating body fat. Conclusion : The fat percent estimated by BI analysis correlated strongly with ST or BMI. BI analysis is an objective and accurate method for estimating body fat in childhood obesity.

Computational Method for Searching Human miRNA Precursors (인간 miRNA 전구체 탐색을 위한 계산학적 방법)

  • Nam, Jin-Wu;Joung, Je-Gun;Lee, Wha-Jin;Zhang, Byoung-Tak
    • Proceedings of the Korean Society for Bioinformatics Conference
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    • 2003.10a
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    • pp.288-297
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    • 2003
  • 본 논문은 진화 알고리즘(Evolutionary algorithm)의 기법중의 하나인 유전자 프로그래밍(Genetic programming)을 이용하여 miRNA 유전자를 발굴하기 위한 알고리즘을 소개하고 있다 miRNA는 세포내에서 유전자의 전사를 중지시킴으로써 유전자의 발현을 직접적으로 조절하게 되는 작은 RNA 집단 중의 하나이다. 그러므로 miRNA를 유전체 데이터에서 동정해내는 작업은 생물학적으로 상당히 중요하다. 한편 유전체 데이터에서 miRNA를 동정해내는 알고리즘은 생물학적 실험에서의 시간과 비용을 상당히 절감할 수 있으며, 생물학적으로 miRNA를 동정하는 많은 어려움을 덜어주게 된다. 하지만 계산학적으로 miRNA의 동정은 1차 염기서열상의 통계적인 중요도가 부족하여 기존의 유전자 예측 알고리즘을 적용하기에는 어려움이 있다. 따라서 본 연구에서는 miRNA의 염기서열보다는 2차구조에서 더 많은 유사성을 갖는다는 점을 착안하여, 2차구조내에서 공통적인 구조를 찾아내고, 그 정보를 이용하여 miRNA를 동정해내는 방법으로 접근하였다. 이 알고리즘의 성능평가를 위해 우리는 test set을 이용하여 학습된 모델의 특이도(= 34/38)와 민감도(= 38/67)를 계산하였다. 평가결과 본 알고리즘이 기존의 miRNA 예측 프로그램보다 높은 특이도를 갖고 있으며, 유사한 수준의 민감도를 갖고 있음을 보여 주고 있다.

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