• Annual Conference of KIPS
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• 2021.05a
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• pp.282-284
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• 2021

최근 4차 산업혁명으로 의료빅데이터 기반으로 한 AI 기술이 급속도로 발전하고 있다. 특히, 의료영상을 기반으로 병변을 탐색, 분활 및 정량화 그리고 자동진단 및 예측 관련된 기술이 AI 제품으로 출시되고 있다. AI 기술개발은 많은 학습데이터가 요구되며, 임상검증에 단일기관에서 2개 이상 기관의 검증이 요구되고 있다. 그러나 아직까지도 단일기관에서 학습용 데이터와 테스트, 검증용 데이터를 달리하여 기술개발에 활용하고 있다. 본 논문은 AI 기술개발에 필요한 영상데이터에 대한 표준화된 데이터셋 변환 및 관리를 위한 시스템에 대해 기술한다. 다기관 데이터를 수집하기 위해서는 각 기관의 의료영상 데이터 수집 및 저장하는 기준이 명확하지 않아 표준화 작업이 필요하다. 제안한 시스템은 기관 또는 다기관 연구 그룹의 의료영상데이터를 표준화하여 저장할 수 있을 뿐만 아니라 의료영상 뷰어 및 의료영상 리스트를 통해 연구자가 원하는 의료영상 데이터 셋을 검색하여 다양한 데이터셋으로 제공할 수 있기 때문에 수집 및 변환 그리고 관리까지 지원할 수 있는 시스템으로 영상기반의 머신러닝 연구에 활력을 불어넣을 수 있을 것으로 기대하고 있다.

• Journal of dental hygiene science
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• v.16 no.2
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• pp.134-141
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• 2016

The purpose of this study was to develop a dental communication course in dental hygiene schools that included theory, practice, and skill for effective dental communication. Thirty-six senior dental hygiene students in a dental hygiene school took a dental communication course and responded to a questionnaire. The instrument used in the study was a modified form of Kim's communication skill self-assessment sheet. The self-assessment questionnaire about communication competencies was administered before and after the class, and the difference between scores at each time point was analyzed using the Wilcoxon signed rank sum test. Among seven elements of dental communication competencies, the competency of "information gathering" was significantly improved (p=0.008). Students' scores on perception of the importance (p=0.019) and necessity (0.016) of a communication course significantly increased after the course. Competencies in communication are essential requirement for dental hygienists. This study showed the possibility of communication skill training. An objective evaluation tool regarding students' communication competencies should be developed. Further studies with larger samples size are needed to develop a standardized comprehensive communication course in dental hygiene schools.

• Annual Conference of KIPS
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• 2009.04a
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• pp.957-960
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• 2009

의료영상기기의 발달과 등장으로 진단과 치료목적으로 생성된 의료영상은 기하급수적으로 증가하고 있다. 게다가 의료 환경이 보다 전문화, 집중화 되면서 의료기관 간의 협업의 중요성이 강조되고 있다. 의료기관간의 효과적인 의료협업을 위해서는 의료정보의 원활한 가시화와 이를 지원하기 위한 정보 처리는 필수적이다. 의료기관간의 의료정보를 가시화하기 위해서는 안정적이고 다양한 의료정보를 표현하기 위한 플랫폼이 필요하다. 본 연구에서는 다양한 의료정보 협업을 지원하는 의료협업 플랫폼을 제안하고 기존의 PACS-Grid 와 서비스 기반의 의료정보 협업 가시화 서비스를 설명하고자 한다.

• Proceedings of the KIEE Conference
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• 2009.07a
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• pp.1984_1985
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• 2009

개인용의료기기는 오동작이나 부작용에 대한 예방으로 품질향상과 안전성확보가 필요하며 이를 위한 시판전의 시험검사나 시판후의 수거검사시에 안전성평가를 위한 표준시험방법 개발이 필요하다. 본 논문에서는 개인용의료기기의 전기 및 기계적 안전성 평가를 위한 필수안전시험에 대한 표준시험방법을 연구하였다.

• Proceedings of the Korea Multimedia Society Conference
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• 2001.11a
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• pp.159-164
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• 2001

본 연구에서 설계하고 구현한 뇌 MR영상 처리기에서는 뇌 MR 영상에서 진단에 필요한 정보들을 자동 추출한다. 의료영상 처리 시에는 수집된 의료영상의 특징을 분석하고 특징들을 분류해야 하며 이를 위해서는 효율적인 특징 추출 알고리즘들 필요하다. 뇌 MR 영상 처리기는 영상의 잡음제거나 영상 강화를 위한 전처리기, 영상의 특징을 추출하기 위한 영역분할기와 전역, 지역 특징 추출기로 구성된다. 뇌 MR 영상 특징 추출을 위한 효율적인 의료영상 처리기의 개발 내용을 기술한다.

• Journal of Korean Society of Disaster and Security
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• v.9 no.1
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• pp.39-45
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• 2016

The disasters in Korea, such as the Sewol Ferry Ship sinking disaster has had problems related to the medical response system, with the problems of emergency medical support team in the site, the cooperation between medical staff and fire department officer at disaster site, field medical support and hospital acceptance of the wounded in trouble, the lack of specific systematic medical response manual. Therefore, from May 2014, when the disaster emergency information center in Central Emergency Medical Center starts, collection, modification and education of scattered preexisting disaster emergency medical manual had appeared as important issues. So, it was necessary to develop the early medical response system to disaster. The correction planning of disaster emergency medical response system by Central Emergency Medical Center included quick response system with the fast medical team operation, but the practical application was not enough. So the researcher and his team developed the first Korean disaster emergency medical response manual and the process of development was documented and arranged with the application by education and training.

• The Korean Society of Law and Medicine
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• v.19 no.2
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• pp.3-40
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• 2018

Conventionally, there were few cases in which a medical accident became a criminal case in Japan. However, after the serious malpractice such as the Yokohama City University Hospital case, prosecutors came to be less hesitant to prosecute a malpractice. In a medical accident, the attribution of the responsibilities among medical personnel becomes one important element of the proof of negligence. The Supreme Court concluded that, when the attribution of the responsibilities is not established among medical personnel to confirm the identity of the patient like the Yokohama City University Hospital case, all the personnel who were involved bear the responsibilities to identify the patient. For serious cases which requireut most carefulness fortreatment such as the Saitama Medical University Hospital case, not only the chief physician in charge of the case concerned but also the director of the branch at the university hospital bear the responsibilities to confirm the treatment policy of the case. After the acquittal of the Ohno Hospital case, the voice demanding more prudent prosecution of malpractices has become stronger than before. Meanwhile, Ministry of Health, Labour and Welfare introduced Medical Accidents Investigation System for the prevention of medical accident and, has reinforced the third party inspection of medical accidents.

• The Journal of the Korea Contents Association
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• v.21 no.8
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• pp.294-304
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• 2021

Medical institutions remodel existing hospital buildings rather than construct buildings to satisfy patient satisfaction and enhance competitiveness with other medical institutions. Medical institution remodeling is gradually increasing due to enhanced laws and systems to improve the quality of medical services and the level of patient safety. However, prior studies were discussed only within a limited range, including architectural elements, about medical institution remodeling. Therefore, this study aims to provide basic data to medical institutions planning future remodeling by examining the legal issues of medical institution remodeling in various ways. Medical institution remodeling extends the construction period due to restrictions on construction conditions, and causes damage such as noise and dust to patients. So it is necessary to prevent damage to patients in advance and to support appropriate remodeling of medical institutions. Therefore, it is necessary to prepare an Act on promotion of and support for remodeling of medical institutions. In addition, medical institutions should prepare a checklist for voluntary compliance with construction standards, preventive measures and post-improvement measures, and measures for infection and radiation exposure in hospitals.

• Annual Conference of KIPS
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• 2020.05a
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• pp.365-367
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• 2020

현재 의료영상 진단검사는 간 질환의 진단을 위해 실제 임상에서 사용하고 있는 중요한 검사 방법이며 의료영상을 기반으로 한 정량분석 소프트웨어 개발 연구가 활발히 진행되고 있다. 특히, 의료영상을 기반으로 간 질환을 정량화 하는 방법 가운데 간 결절 점수와 간세포 이질성 점수를 이용하여 간질환에 대한 정량적 평가를 진행한 결과 간 결절 점수와 간세포 이질성 점수에 따른 간 질환 중증도의 상관관계가 증명되었으나 많은 문제점이 제기되었다. 의료영상에는 서로 상반되는 의료영상조건들을 가지고 있기 때문에 의료영상조건에 따른 영상처리 기술들이 필요하였으며 간 결절 점수와 간 세포 이질성 점수는 수식에 의한 계산법을 기반으로 산출하기 때문에 수식 결과에 대한 검증 과정이 필요하였다. 따라서, 본 연구는 기존의 문제점을 해결하기 위해 의료영상에 따른 의료영상처리 기술을 자동화 할 수 있도록 개발하였으며 간염, 간질환, 간 경변등 간 질환 중증도에 따른 정량적인 분석을 수행할 뿐만 아니라 분석 결과에 대한 리포트 결과까지 제공함으로써 간 질환을 진단하기 위한 정량적인 진단 지표가 될 수 있는 소프트웨어 기반의 간 질환 진단 기술을 제안하고자 한다.

• The Korean Society of Law and Medicine
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• v.20 no.3
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• pp.143-174
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• 2019

Our Constitution obliges the state to protect the health of the people, and the Medical Law, which embodied Constitution, sets out in detail the matters related to open the medical institution, and one of them is to prohibit the operation of multiple medical institutions. By the way, virtually multiple medical institutions could be opened and operated because the Supreme Court had interpreted that several medical institutions could be opened if medical activities were not performed directly at the additional medical institution which was opened under the another doctor's license. However, some health care providers opened the several medical institutions with another doctor's license for the purpose of the maximization of profit, and did illegal medical cares like the unfair luring of patients, over-treatment, and commission treatment. Also, realistic problems such as the infringed health rights have arisen. Accordingly, lawmakers had come to amend the Medical Law to readjust the system of opening for medical institution so that medical personnel could not open or operate more than one medical institution for any reason. For this reason, the Constitutional Court recently declared a constitutional decision through a long period of in-depth deliberation because the constitutional petition and the adjudication on the constitutionality of statutes had been filed on whether Article 33 paragraph 8 of the revised medical law is unconstitutional. The Constitutional Court acknowledged the "justice of purpose" in view of the importance of public medical institutions, of the prevention from seduction of for-profit patients and from over-treatment, and of the fact that health care should not be the object of commercial transactions. Given the risk that medical personnel might be subject to outside capital, the concern that the holder of the medical institution's opening certificate and the actual operator may be separated, the principle that the human body and life should not be just a means, and the current system's inability to identify over-treatment, it also acknowledged the 'minimum infringement'. Furthermore, The Constitutional Court judged it is constitutional in compliance with the principle of restricting fundamental rights, such as 'balance of legal interests'. In this regard, legislative complements are needed in order to effectively prevent the for-profit management and the over-treatment the Constitutional Court is concerned about. In this regard, consumer groups actively support the need for legislation, and health care providers groups also agree on the need for legislation. Therefore, the legislators should respect the recent Constitutional Court's decision and in the near future complete the complementary legislation to reflect the people's interests.