• Journal of the Korean association of regional geographers
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• v.3 no.1
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• pp.63-80
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• 1997

This study attempts to establish the criteria of site selection for establishing solid waste disposal facility, to determine optimal solid waste disposal sites with the criteria, and to examine the suitability of the selected sites. The Multi-Criteria Evaluation(MCE) module in Idrisi is used to determine optimal sites for solid waste disposal. The MCE combines the information from several criteria in interval and/or ratio scale to form a single index of evaluation without leveling down the data scale into ordinal scale. The summary of this study is as follows: First, the considerable criteria are selected through reviewing the literature and the availability of data: namely, percent of slope, fault lines, bedrock characteristics, major residential areas, reservoirs of water supply, rivers, inundated area, roads, and tourist resorts. Second, the criteria maps of nine factors have been developed. Each factor map is standardized and multiplies by its weight, and then the results are summed. After all of the factors have been incorporated, the resulting suitability map is multiplied by each of the constraint in turn to "zero out" unsuitable area. The unsuitable areas are discovered in urban district and its adjacencies, and mountain region as well as river, roads, resort area and their adjacency districts. Third, the potential sites for establishing waste disposal facilities are twenty five districts in Youngyang-gun. Five districts are located in Subi-myun Sinam-ri, nine districts in Chunggi-myun Haehwa-ri and Moojin-ri, and eleven districts in Sukbo-myun Posan-ri. The first highest score of suitability for waste disposal sites is shown at number eleven district in Chunggi-myun Moojin-ri and the second highest one is discovered at number twenty one district in Sukbo-myun Posan-ri that is followed by number nine district in Chunggi-myun Haehwa-ri, number seventeen and twenty three in Sukbo-myun Posan-ri, and number two in Subi-myun Sinam-ri. The first lowest score is found in number six district in Chunggi-myun Haehwa-ri, and the second lowest one is number five district in Subi-myun Sinam-ri. Finally, the Geographic Information System (GIS) helps to select optimal sites with more objectively and to minimize conflict in the determination of waste disposal sites. It is important to present several potential sites with objective criteria for establishing waste disposal facilities and to discover characteristics of each potential site as a result of that final sites of waste disposal are determined through considering thought of residents. This study has a limitation of criteria as a result of the restriction of availability of data such as underground water, soil texture and mineralogy, and thought of residents. To improve selection of optimal sites for a waste disposal facility, more wide rage of spatial and non-spatial data base should be constructed.

• Nuclear Medicine and Molecular Imaging
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• v.42 no.3
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• pp.192-200
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• 2008

To evaluate the hemodynamic changes and the predictive factors of the clinical outcome in pediatric patients with moyamoya disease, we analyzed pre/post basal/acetazolamide stress brain perfusion SPECT with automated volume of interest (VOIs) method. Methods: Total fifty six (M:F = 33:24, age $6.7{\pm}3.2$ years) pediatric patients with moyamoya disease, who underwent basal/acetazolamide stress brain perfusion SPECT within 6 before and after revascularization surgery (encephalo-duro-arterio-synangiosis (EDAS) with frontal encephalo-galeo-synangiosis (EGS) and EDAS only followed on contralateral hemisphere), and followed-up more than 6 months after post-operative SPECT, were included. A mean follow-up period after post-operative SPECT was $33{\pm}21$ months. Each patient's SPECT image was spatially normalized to Korean template with the SPM2. For the regional count normalization, the count of pons was used as a reference region. The basal/acetazolamide-stressed cerebral blood flow (CBF), the cerebral vascular reserve index (CVRI), and the extent of area with significantly decreased basal/acetazolamide- stressed rCBF than age-matched normal control were evaluated on both medial frontal, frontal, parietal, occipital lobes, and whole brain in each patient's images. The post-operative clinical outcome was assigned as good, poor according to the presence of transient ischemic attacks and/or fixed neurological deficits by pediatric neurosurgeon. Results: In a paired t-test, basal/acetazolamide-stressed rCBF and the CVRI were significantly improved after revascularization (p<0.05). The significant difference in the pre-operative basal/acetazolamide-stressed rCBF and the CVRI between the hemispheres where EDAS with frontal EGS was performed and their contralateral counterparts where EDAS only was done disappeared after operation (p<0.05). In an independent student t-test, the pre-operative basal rCBF in the medial frontal gyrus, the post-operative CVRI in the frontal lobe and the parietal lobe of the hemispheres with EDAS and frontal EGS, the post-operative CVRI, and ${\Delta}CVRI$ showed a significant difference between patients with a good and poor clinical outcome (p<0.05). In a multivariate logistic regression analysis, the ${\Delta}CVRI$ and the post-operative CVRI of medial frontal gyrus on the hemispheres where EDAS with frontal EGS was performed were the significant predictive factors for the clinical outcome (p =0.002, p =0.015), Conclusion: With probabilistic map, we could objectively evaluate pre/post-operative hemodynamic changes of pediatric patients with moyamoya disease. Specifically the post-operative CVRI and the post-operative CVRI of medial frontal gyrus where EDAS with frontal EGS was done were the significant predictive factors for further clinical outcomes.

• Tuberculosis and Respiratory Diseases
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• v.47 no.5
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• pp.642-649
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• 1999

Background: It is very important to determine an accurate staging of the non-small cell lung cancer(NSCLC) for an assessment of operability and it's prognosis. However, it is difficult to evaluate tumor involvement of mediastinal lymph nodes accurately utilizing noninvasive imaging modalities. PET is one of the sensitive and specific imaging modality. Unfortunately PET is limited use because of prohibitive cost involved with it's operation. Recently hybrid SPECT/PET(single photon emission computed tomography/positron emission tomography) camera based PET imaging was introduced with relatively low cost. We evaluated the usefulness of coincidence detection(CoDe) PET in the detection of metastasis to the mediastinal lymph nodes in patients with NSCLC. Methods: Twenty one patients with NSCLC were evaluated by CT or MRI and they were considered operable. CoDe PET was performed in all 21 patients prior to surgery. Tomographic slices of axial, coronal and sagittal planes were visually analysed. At surgery, mediastinal lymph nodes were removed and histological diagnosis was performed. CoDe PET findings were correlated with histological findings. Results: Twenty of 21 primary tumor masses were detected by the CoDe PET. Thirteen of 21 patients was correctly diagnosed mediastinal lymph node metastasis by the CoDe PET. Pathological N0 was 14 cases and the specificity of N0 of CoDe PET was 64.3%. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of N1 node was 83.3%, 73.3%, 55.6%, 91.7%, and 76.2% respectively. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of N2 node was 60.0%, 87.5%, 60.0%,87.5%, and 90.0% respectively. There were 3 false negative cases but the size of the 3 nodes were less than 1cm. The size of true positive nodes were 1.1cm, 1.0cm, 0.5cm respectively. There were 1 false positive among the 12 lymph nodes which were larger than 1cm. False positive cases consisted of 1 tuberculosis case, 1 pneumoconiosis case and 1 anthracosis case. Conclusion: CoDe PET has relatively high negative predictive value in the enlarged lymph node in staging of mediastinal nodes in patients with NSCLC. Therefore CoDe PET is useful in ruling out metastasis of enlarged N3 nodes. However, further study is needed including more number of patients in the future.