• Proceedings of the Korean Information Science Society Conference
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• 2000.04b
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• pp.511-513
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• 2000

PaP Smear 테스트는 자궁 경부암 진단에 가장 효율적인 방법으로 알려져 있다. 그러나 이 방법은 높은 위 음성률(false negative error, 15~50%)을 나타내고 있다. 이런 큰 오류율은 주로 다량의 세포 검사에 기인하여, 자동화 시스템의 개발이 절실히 요구되고 있다. 본 논문은 자궁 경부암의 특징인 군집을 이루는 암세포를 인식할 수 있는 시스템을 제안한다. 시스템은 두 부분으로 나누어진다. 첫 단계에서는 저 배율(100배)에서 간단한 영상처리와 최소 근접 트리(Minimum Spanning Tree)를 통해 군집을 이루는 세포를 찾는다. 두 번째 단계서는 고 배율(400배)로 확대하여 군집 세포들로부터 여러 가지 특징을 추출한 후 KNN(k-Neighbor) 방법을 통해 인식하는 단계이다. 50개의 영상 (640X 480, RGB True Color 25 개의 100배 영상 , 25개의 400배 영상)이 실험에 사용되었다. 한 영상을 처리하는데 약 3초 (2.984초) 소요되었으며, 이는 region growing(20초)나 split and merge(58초) 방법 보다 덜 소요되었다. 100배 영상에서 정상과 비정상의 두 그룹으로 나누었을 경우에는 96%의 높은 인식율을 나타내었으나 비정상을 다시 5개의 그룹으로 나누었을 때는 45%로 나타내었다. 이는 영역 추출(segmentation) 단계에서 오류와 트레이닝 데이터의 비정확성에 기인한다. 400배 영상에서는 각각 92%와 30%로 나타내었다. 이는 영역추출 단계에서 사용한 Watershed 방법의 오류로 기인한 것으로 본다.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2009.05a
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• pp.364-368
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• 2009

자궁경부암은 다른 암과 달리 전암(前癌) 단계가 존재하므로 조기에 발견할 경우 생존율이 높다. 그러나 검체 적정성의 부족과 검체 체취의 오류로 인해 질병이 있음에도 음성으로 나타나는 위음성률이 높다. 따라서 본 논문에서는 세포 도말검사에서 사용되는 자궁 경부진 세포에서 암종 세포를 추출하는 방법을 제안한다. 영상의 배경 그리고 핵과 세포질 영역의 구분이 중요하기 때문에 조기 자궁 경부 세포진 영상에서 핵의 추출은 Lighting Compensation을 적용하여 영상을 보정하고, 명암도 분포가 가장 작은 B 채널과 명암도 분포가 높은 R채널과의 OR 연산을 적용한 후, $3{\times}3$마스크를 이용하여 잡음을 제거한다. 잡음이 제거된 영상을 이진화하고 Grassfire 알고리즘을 이용하여 암종 세포의 후보 객체를 추출한다. 추출된 세포 객체에서 핵의 크기, 핵의 면적과 핵의 외곽의 방향성 정보를 이용하여 백혈구와 잡음으로 구성된 객체를 제거한다. 세포 도말검사 과정에서 겹쳐진 부분은 거리 함수와 명암도를 이용하여 마커를 추출하고 추출된 마커 정보와 워터쉐드 알고리즘을 적용하여 겹쳐진 암종 세포를 분리한다. 자궁경부 편평 세포진 400 배율 영상과 자궁 경부 상피내 종양 400 배율 영상을 대상으로 실험한 결과, 기존의 자궁 경부진 암종 세포 추출 방법보다 효과적으로 암종 세포 영역이 추출되는 것을 확인하였다.

• Radiation Oncology Journal
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• v.7 no.1
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• pp.77-80
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• 1989

Invasive carcinoma of the cervix during the pregnancy is relatively uncommon. It must be considered fetal viability, tumor control as well. If the carcinoma is diagnosed in the first or second trimester, treatment should be undertaken immediately. At the third trimester, treatment should be deferred until the fetus is viable.

• The Science & Technology
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• v.29 no.11 s.330
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• pp.80-81
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• 1996

우리나라 여성들에게서 발병 사망률이 높은 자궁경부암의 세포주를 배양하여 암의 발생원인 특성을 밝혀낸 가톨릭대 의대 김진우교수. 김교수는 난소암 자궁내막암 세포배양에도 성공하여 앞으로 임상실험을 하기 위한 재료확보와 암의 항원 전체구조를 파악하는 연구를 계속할 것이라고 한다.

• The Journal of Korean Society for School & Community Health Education
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• v.25 no.2
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• pp.45-57
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• 2024

Objectives: The purpose of this study is to determine the impact of artificial menopause on the diagnosis of thyroid cancer, breast cancer, and cervical cancer, and to provide basic data for cancer prevention and early diagnosis in women. Methods: Analysis was conducted using raw data from the 2011-2020 National Health and Nutrition Examination Survey. Among the 79,262 people surveyed in the 2011-2020 National Health and Nutrition Examination Survey, 10,207 people were selected as the final research subjects, excluding men, those under 18 years old, those over 80 years old, those who did not participate in the health survey, those with missing data, and those who were not in menopause. Among them, 248 people were diagnosed with thyroid cancer (2.7%), 225 people were diagnosed with breast cancer (2.5%), and 143 people were diagnosed with cervical cancer (21.5%). Results: First, there appeared to be differences between the thyroid cancer diagnosed group and the non-diagnosed group depending on educational level, childbirth experience, and menopause type. Second, there appeared to be differences between the breast cancer diagnosis group and the non-diagnosis group depending on educational level, menopause age, pregnancy experience, childbirth experience, subjective health status, and menopause type. Third, there appeared to be differences between the cervical cancer diagnosis group and the non-diagnosis group depending on menopause age, subjective health status, and menopause type. Fourth, compared to natural menopause, in the case of artificial menopause, the diagnosis probability of women increased by 2.010 times for thyroid cancer, 3.872 times for breast cancer, and 14.902 times for cervical cancer. Conclusion: For thyroid cancer, breast cancer, and cervical cancer, the probability of cancer diagnosis increases in the case of artificial menopause compared to natural menopause, so it is considered important to avoid experiencing artificial menopause to prevent cancer.

• Journal of the Korean Institute of Intelligent Systems
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• v.16 no.5
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• pp.519-524
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• 2006

Segmentation for the region of nucleus in the image of uterine cervical cytodiagnosis is known as the most difficult and important part in the automatic cervical cancer recognition system. In this paper, the region of nucleus is extracted from an image of uterine cervical cytodiagnosis using the fuzzy grey morphology operation. The characteristics of the nucleus are extracted from the analysis of morphemetric features, densitometric features, colormetric features, and textural features based on the detected region of nucleus area. The classification criterion of a nucleus is defined according to the standard categories of the Bethesda system. The enhanced fuzzy ART algorithm is used to the extracted nucleus and the results show that the proposed method is efficient in nucleus recognition and uterine cervical Pap-Smears extraction.

• Journal of Yeungnam Medical Science
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• v.16 no.2
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• pp.169-180
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• 1999

Background: Uterine cervical cancer is the most common malignant tumor of the women in Korea. This study was undertaken to evaluate the usefulness of the cervicography as a screening test of cervical cancer. Materials and Methods: Cervicography was taken from 482 women at department of obstetrics and gynecology, at Yeungnam University Hospital from March 1, 1998 to October 31, 1999. Of the 482 women, 172 women were exc1uded from the study for various reasons, and 310 women completed the study. Three-hundred and ten women had cervical cytology (Papanicolaou smear), cervicography and colposcopy, and punch biopsy was undertaken if any of the test result was abnormal. Results: The most common age group was 35-39, and 40-44, 45-49 in order and most common reason for having a screening test was regular check for cervical cancer. The mean duration from the last Pap smear was 17.1 months, and 64 women(20.4%) never had any prior screening tests. Of the 310 women, 254 women were categorized as normal or having benign disease such as cervicitis, erosion or metaplasia. Biopsy was taken from 56 patients and the results were 26 chronic cervicitis, 4 mild dysplasia, 6 moderate dysplasia, 2 severe dysplasia, 14 carcinoma in situ and 4 invasive carcinoma. The results of cytology and cervicography were well correlated(p<0.05). The sensitivity and specificity of cytology were 86.7% and 76.9%, respectively and the sensitivity and specificity of cervicography were 56.7% and 96.2%, respectively. False negative rate of cervicography(43.3%) was much higher than those of cytology(13. 3%) (p<0.05), but false positive rate of cervicography(3.8%) was much lower than that of cytology(23.1%) (p<0.05). Conclusion: It seems inappropriate to use cervicography as a single screening test for cervival cancer, but it may be an effective complementary test for cytology to lower the false negative rate of cytology.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2006.05a
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• pp.335-339
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• 2006

자궁 경부 세포진 영상의 핵 영역 분할은 자궁 경부암 자동화 검색 시스템의 가장 어렵고도 중요한 분야로 알려져 있다. 자궁 경부 세포진 영상은 배경과 세포의 영역이 확실히 구분되지 않는 경우가 많기 때문에 이들을 확실히 구분하는 것이 매우 중요하다. 본 논문에서는 이러한 문제점을 해결하기 위해 자궁 경부 세포진 영상에서 Region growing 기법을 적용하여 세포 영상을 분할한다. Region growing 기법은 화소간의 유사도를 측정하여 영역을 확장하여 분할하는 방법이다. 세포와 배경이 분할된 영상을 일정 임계값을 이용하여 영상을 이진화 한 후, 8방향 윤곽선 추적 알고리즘을 이용해 세포 영역을 추출한다. 추출된 세포 영역을 원 영상인 RGB 컬러로 변환한 후에 K-means 알고리즘을 적용하여 각 세포 영역의 RGB 화소를 R, G, B 채널로 각각 분리하여 클러스터링한다. 클러스터링된 각각의 R, G, B 채널의 클러스터 값을 이용하여 HSI 모델로 변환시킨 후에 세포핵 영역의 Hue 정보를 추출한다. 추출된 세포핵의 특징을 오류 역전파 알고리즘을 적용하여 정상 세포와 비정상 세포를 분류하고 인식한다.

• Radiation Oncology Journal
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• v.18 no.4
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• pp.309-313
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• 2000

The metastasis of uterine leiornyosarcorna to the neck node has not been reported previously and the radiotherapy has been rarely used for the metastatic lesion of the other sites. We report a case of neck metastasis from a uterine leiornyosarcorna, which developed 10 months after surgery and postoperative pelvic radiotherapy. It also involved the parapharyngeal space, adjacent spine, and spinal canal. The metastatic neck mass was inoperable, and was treated by neck radiotherapy (6,000 cGy) and chemotherapy including taxol and carboplatin. The mass has regressed progressively to a nearly impalpable state. She has never developed spinal cord compression syndrome, and has maintained good swallowing for eight months since the neck radiotherapy and chemotherapy. Since the extensive metastatic neck mass showed good local response to high dose radiotherapy and chemotherapy, both treatments may be considered for an unresectable metastatic leiornyosarcorna.

• Radiation Oncology Journal
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• v.23 no.4
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• pp.201-210
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• 2005

Purpose: Quality of life in patients with cancer may be influenced by various kinds of variables, such as personal, environmental, and medical factors. The purpose of this study was to identity the influencing factors on the quality of life in patients with cancer. Materials and Methods: One hundred and forty seven patients, who were taking medical therapy or following up after surgery for cervix cancer, participated in the present study. Quality of life, medical variables (cancer stage, types of treatment, follow-up status, and symptom distress), and psychosocial variables (mood disturbance, orientation to life, and social support) were measured. The obtained data were computed using multiple regression analyses. Results: The medical-and-psychosocial variables explained 63.3% of the total variance in the quality of life ($R^2=0.633$ F:16.959, p=.000). Cancer stage, symptom distress, mood disturbance, social support(family), and optimistic orientation to life were significant factors influencing on the quality of life in patients with cervix cancer. Conclusion: An integrative care program which includes medical - and - psychosocial characteristics of patients is essential to improve quality of life in patients with cervix cancer.