• Title/Summary/Keyword: 시경

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Design of CNN-based Gastrointestinal Landmark Classifier for Tracking the Gastrointestinal Location (캡슐내시경의 위치추적을 위한 CNN 기반 위장관 랜드마크 분류기 설계)

  • Jang, Hyeon-Woong;Lim, Chang-Nam;Park, Ye-Seul;Lee, Kwang-Jae;Lee, Jung-Won
    • Proceedings of the Korea Information Processing Society Conference
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    • 2019.10a
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    • pp.1019-1022
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    • 2019
  • 최근의 영상 처리 분야는 딥러닝 기법들의 성능이 입증됨에 따라 다양한 분야에서 이와 같은 기법들을 활용해 영상에 대한 분류, 분석, 검출 등을 수행하려는 시도가 활발하다. 그중에서도 의료 진단 보조 역할을 할 수 있는 의료 영상 분석 소프트웨어에 대한 기대가 증가하고 있는데, 본 연구에서는 캡슐내시경 영상에 주목하였다. 캡슐내시경은 주로 소장 촬영을 목표로 하며 식도부터 대장까지 약 8~10시간 동안 촬영된다. 이로 인해 CT, MR, X-ray와 같은 다른 의료 영상과 다르게 하나의 데이터 셋이 10~15만 장의 이미지를 갖는다. 일반적으로 캡슐내시경 영상을 판독하는 순서는 위장관 교차점(Z-Line, 유문판, 회맹판)을 기준으로 위장관 랜드마크(식도, 위, 소장, 대장)를 구분한 뒤, 각 랜드마크 별로 병변 정보를 찾아내는 방식이다. 그러나 워낙 방대한 영상 데이터를 가지기 때문에 의사 혹은 의료 전문가가 영상을 판독하는데 많은 시간과 노력이 소모되고 있다. 본 논문의 목적은 캡슐내시경 영상의 판독에서 모든 환자에 대해 공통으로 수행되고, 판독하는 데 많은 시간을 차지하는 위장관 랜드마크를 찾는 것에 있다. 이를 위해, 위장관 랜드마크를 식별할 수 있는 CNN 학습 모델을 설계하였으며, 더욱 효과적인 학습을 위해 전처리 과정으로 학습에 방해가 되는 학습 노이즈 영상들을 제거하고 위장관 랜드마크 별 특징 분석을 진행하였다. 총 8명의 환자 데이터를 가지고 학습된 모델에 대해 평가 및 검증을 진행하였는데, 무작위로 환자 데이터를 샘플링하여 학습한 모델을 평가한 결과, 평균 정확도가 95% 가 확인되었으며 개별 환자별로 교차 검증 방식을 진행한 결과 평균 정확도 67% 가 확인되었다.

Flexible Bronchoscopic Findings and Therapeutic Effects in Atelectasis of Children (소아 무기폐에서 굴곡성 기관지내시경 소견 및 치료적 유용성)

  • Shin, Mee Yong;Hwang, Jong Hee;Chung, Eun Hee;Moon, Jeong Hee;Lee, Ju Suk;Park, Yong Min;Ahn, Kang Mo;Lee, Sang Il
    • Clinical and Experimental Pediatrics
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    • v.45 no.9
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    • pp.1090-1096
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    • 2002
  • Purpose : We evaluated the clinical manifestations, bronchoscopic findings and therapeutic effects of flexible fiberoptic bronchoscopy in atelectasis of children. Methods : Sixty six children who received bronchoscopy due to persistent atelectasis, acute severe atelectasis and incidental atelectasis on plain chest radiography were studied retrospectively. Results : The most common causative underlying disease was pneumonia(60.4%). Other underlying conditions were pulmonary tuberculosis, chronic lung disease, postoperative state, bronchial asthma and chest trauma. The most common abnormal findings were inflammatory changes such as bronchial stenosis(n=15), mucosal edema and large amount of secretion(n=14), granulation tissue( n=3) and mucus plug(n=3) although 39.4% showed normal airways. Other findings were congenital airway anomalies, endobronchial tuberculosis, extrinsic compression and obstruction by blood clot. In 32 children with pneumonia-associated atelectasis, 43.7% revealed normal airways, and the most common abnormal findings were also inflammatory changes. Eighteen out of 39 patients who received therapeutic intervention such as suctioning of secretion, bronchial washing and intrabronchial administration of N-acetylcysteine($Mucomyst^{(R)}$) had complete or partial resolution of their atelectasis. In 32 patients with pneumonia-associated atelectasis, 56.5% showed improvement by therapeutic intervention. Conclusion : In this study, atelectasis was mainly associated with inflammatory airway diseases such as pneumonia. The most common abnormal bronchoscopic findings were inflammatory changes such as mucosal edema and large amounts of secretion and bronchial stenosis, although about 40% revealed normal airway. Flexible bronchoscopy is helpful for either diagnosis or treatment, especially in pneumonia-associated atelectasis.

Reinterpretation of the Concept "Publicity" in Ancient Classics of Asia (고전콘텐츠에 나타난 공(公)개념의 재해석)

  • Park, Sung-Joan
    • The Journal of the Korea Contents Association
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    • v.9 no.8
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    • pp.367-375
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    • 2009
  • The purpose of this thesis is to study concept of "the Publicity" in ancient classics in Asia. I refered to Book of Odes( 詩經), Analects(論語), Mencius(孟子), Collections of Chu Xi( 晦華集), Ri zhi lu( 日知錄). This thesis is to classify and reinterpret the concept of "the Publicity". The major types of it are as follows : first, "the Publicity" as the ascendancy of the king in Book of Odes. second, "the Publicity" as hereditary order in Analects, third, "the Publicity" as authority of the king in Mencius, fourth, "the Publicity" as political ascendancy in Collections of Chu Xi, fifth, "the Publicity" as public and private uniformity in Ri zhi lu.

Development of automatic inspection system of defects on inner surface of pneumatic cylinder-tubes by electronic endoscope (전자내시경을 활용한 공압실린더 튜브 내면의 결함 자동검사시스템 개발)

  • Lho, Tae-Jung;Koo, Bon-Joo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.6
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    • pp.3376-3382
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    • 2014
  • The system developed inspects automatically defects existing on an inner surface of anodically treated aluminum cylinder-tubes. This system consists of automatic inspection software, and electronic endoscope and a conveyor moving device. By applying the optimal brightness conditions to searching for various defects on the inner surface of cylinder tube, the recognition rate of major defects, such as scratch, oxide and weld line reached 99%. If the present visual inspection process is replaced with the automatic defects inspection system, the physical fatigue of the operator could be reduced and the productivity could be increased. The automatic inspection system developed could also improve the quality of the products.

ESOPHAGEAL FOREIGN BODY REMOVAL WITH FIBEROPTIC ESOPHAGOSCOPY (식도이물의 굴곡형 내시경을 이용한 치료)

  • 박수헌
    • Korean Journal of Bronchoesophagology
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    • v.2 no.2
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    • pp.182-193
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    • 1996
  • 식도내 이물은 종종 어린이나 식도질환을 가진 환자, 죄수들, 정신박약자 및 정신질환자등의 위험성이 높은 성인에서 흔히 발생한다. 그러나 대부분의 이물은 저절로 위장관을 통과하나 날카롭고 뾰족하며 긴 이물은 위장관의 천공이나 혈관과 누공형성 및 다른 합병증을 초래할 수도 있다. 이물의 섭취는 대개 환자나 다른 목격자에 의하여 복용한 병력으로 진단할 수 있다. 그러나 어린이나 정신박약자는 병력을 얻을 수 없기 때문에 우선 의심하는 것이 중요한 진단방법이 될 수밖에 없다. 연하곤란과 연하통은 식도이물의 통상적인 증상이다. 주변기도의 압박으로 인한 호흡기 증상은 어린이에 흔하며 종종 성인에서도 관찰된다. 식도내 이물을 제거하는데 많이 사용되는 방법은 굴곡형내시경을 사용하여 제거하는 것이다. 이방법은 성인이나 어린이에서 전신마취없이 기존의 진정제 투여방법으로 시술할 수 있다. 이물제거에 사용되는 파지겸자와 올가미는 내시경이물제거술을 가능하게 하였고 굴곡형내시경에 사용되는 overtube는 기존의 강직 형내시경의 장점을 얻을 수 있어 뽀족하거나 날카로운 이물을 제거하는데 사용하게 되었다. 이런 내시경적이물제거 원칙을 잘 지키고 적절한 준비가 된다면 합병증이 거의 없이 98% 정도의 이물을 제거할 수 있다. 내시경을 사용하지 않는 여러 가지 방법은 천공의 위험성이 높고 흡인성폐렴을 유발할 수 있기 때문에 사용하지 않는 것이 낫다. 수술적인 처치는 천공이 되었거나 다른 이물로 인한 합병증이 있는 경우에만 드물게 적용된다.

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A Study on Cultural Interpretation of the Plants in "The Book of Songs" - Based on Symbolic Elements and Landscape Elements - (시경(詩經)에 나타난 식물 소재의 문화적 해석 - 상징요소와 경관조성요소의 관점에서 -)

  • Yun, Jia-Yan;Son, Yong-Hoon
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.32 no.3
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    • pp.96-109
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    • 2014
  • The purpose of this study is to sort out the plants in "The Book of Songs", and to analyze the cultural significance of plants from the viewpoint of the symbolic elements and the landscape elements in the 3~11 century BC. The conclusions are as follows. First, there were 147 plant names and 136 plant species in "The Book of Songs", and these results can confirm that the plants were existed in the 3~11 century BC. Second, through analyzing the cultural significance of the plants, cattail, lotus, etc. are the symbol of lovers; peony and willow are the symbol of farewell; bamboo is the symbol of gentleman; and Japanese pepper is the symbol of fecundity. Third, at the viewpoint of the landscape elements, the poplar, dwarf elm, etc. can be used as a place of affection; reed and nepenthe can make a place of melancholy, hazel and chestnut tree, etc. can make a place of power and position, celery and water shield etc. can be used as a place of knowledge. Based on the research of "The Book of Songs", it can help to understand the plants culture in 3~11 century BC, and it will be a useful information for the plant design.

Visibility-based Automatic Path Generation Method for Virtual Colonoscopy (가상 대장내시경을 위한 가시성을 이용한 자동 경로 생성법)

  • Lee Jeongjin;Kang Moon Koo;Cho Myoung Su;Shin Yeong Gil
    • Journal of KIISE:Computer Systems and Theory
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    • v.32 no.10
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    • pp.530-540
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    • 2005
  • Virtual colonoscopy is an easy and fast method to reconstruct the shape of colon and diagnose tumors inside the colon based on computed tomography images. This is a non-invasive method, which resolves weak points of previous invasive methods. The path for virtual colonoscopy should be generated rapidly and accurately for clinical examination. However, previous methods are computationally expensive because the data structure such as distance map should be constructed in the preprocessing and positions of all the points of the path needs to be calculated. In this paper, we propose the automatic path generation method based on visibility to decrease path generation time. The proposed method does not require preprocessing and generates small number of control points representing the Path instead of all points to generate the path rapidly. Also, our method generates the path based on visibility so that a virtual camera moves smoothly and a comfortable and accurate path is calculated for virtual navigation. Also, our method can be used for general virtual navigation of various kinds of pipes.

The Effect of Abdominal Massage on Sleep Colonoscopy Subjects (수면 대장내시경 검진자에게 시행한 복부마사지의 효과)

  • Lee, Yun-Jeong;Je, Nam-Joo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.6
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    • pp.410-420
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    • 2019
  • The purpose of this study is to investigate the effect of abdominal massage, on abdominal bloating and the recovery of bowel movement after sleep colonoscopy. The study design is the time difference before and after the non-equality control. The subjects were 22 patients each in experimental group and control group who recieved sleep colonoscopy at the G hospital in C city, The data collection period was from June 1, 2018 to August 25, 2018, and the control group's data were first collected with time difference from the collection of experimental group's data to prevent the spread of the experiment. Data were analyzed using IBM SPSS 24.0 and tested by independent sample t-test, $x^2-test$ and Fisher's exact probability test to verify the homogeneity of general characteristics of the subjects. Shapiro-Wilk was used to verify the normality of the abdominal circumference changes in the experimental and control groups. Mann-Whitney U test was used to verify the pre-homogeneity of the abdominal circumference of the subjects. The experimental results were verified by Fisher's exact probability test, Friedman test and Mann-Whitney U test. These results suggest that the abdominal massage can be used as a nursing intervention after sleep colonoscopy by reducing the gas discharge time($x^2=19.75$, p<.001) and abdominal bloating($x^2=29.93$, p<.001).