• 한국세라믹학회지
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• 제30권4호
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• pp.279-288
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• 1993

A study on calcination and reduction of AUC(ammonium uranyl carbonate, (NH4)4UO2(CO3)3) has been carried out by using TG-DTA in N2, air and H2 atmospheres, respectively. Phases of various intermediate obtained during thermal analysis of AUC in different atmospheres were confirmed by XRD. Powder characteristics of each intermediate were investigated by measuring particle size and specific surface area, and also observed by SEM. As a results, regardless of applied atmosphere AUC was calcined into amorphous UO3, which was converted to $\alpha$-U3O8 Via $\alpha$-UO3 in both H2 and N2 atmosphere, but directly into $\alpha$-UO3 in air atmosphere. Further reduction of U3O8 was only detectable in hydrogen atmosphere. During calcination and reduction, average particle size was reduced to less than 30% of original value without morphology change. Specific surface area was dramatically increased with release of NH3, CO2 and H2O from AUC powder and reached maximum value around 25$0^{\circ}C$, and then gradually decreased with the increase of temperature due to sintering effect of uranium oxides such as UO3 and U3O8. It was also found that the change of average crystallite size and pore size were closely related to the changes of specific surface area of uranium oxides.

• Asian Pacific Journal of Cancer Prevention
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• 제16권16호
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• pp.6923-6928
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• 2015

Background: Early detection of various kinds of cancers nowadays is needed including colorectal cancer due to the highly significant effects in improving cancer treatment. The aim of this study was to evaluate the potential value of adiponectin, visfatin and resistin as early biomarkers for colorectal cancer patients. Materials and Methods: Serum levels of adiponectin, visfatin and resistin were measured by a sandwich-enzyme-linked (ELISA) assay technique in 114 serum samples comprising 34 patients with colorectal cancer (CRC), 27 with colonic polyps (CP), 24 with inflammatory bowel disease (IBD) and 29 healthy controls. The diagnostic accuracy of each serum marker was evaluated using receiver-operating characteristic (ROC) curve analysis. Results: The mean concentration of adiponectin was significantly higher in CRC and CP groups than IBD and control groups (P-value <0.05). Also the mean concentration of serum resistin was significantly elevated in the IBD and control groups compared to CRC and CP groups (P-value = 0.014). However, no significant difference was noted in patients of the CRC and CP groups. On the other hand, the mean concentration of visfatin was significantly elevated in CRC and control groups compared to CP and IBD groups (P-value = 0.03). ROC analysis curves for the studied markers revealed that between CRC and IBD groups serum level of adiponectin had a sensitivity of 76.7% and a specificity of 76% at a cut off value of 3940, +LR being 3.2 and -LR 0.31 with AUC 0.852, while serum level of adiponectin between CP and IBD had a sensitivity of 77.8% and a specificity of 75% at a cut off value of 3300, with +LR=3.11 and -LR = 0.3 with AUC 0.852. On the other hand the serum level of visfatin between CRC and CP groups had a sensitivity of 65.5% and a specificity of 66.7 at a cut off value of 2.4, +LR being 1.67 and -LR 0.52 with AUC 0.698. Also the serum level of resistin had a sensitivity of 62.5% and a specificity of 70.3% at a cut off value of 24500, with +LR=2.1 and -LR = 0.53 with AUC 0.685 between control and other groups. On the other hand by comparing control vs CP groups resistin had a sensitivity of 81.8% and a specificity of 70.8% at a cut off value of 17700, with +LR=2.8 and -LR = 0.26 with AUC 0.763 while visfatin had a sensitivity of 68.2% and a specificity of 70.8% at a cut off value of 2.7, with +LR=2.34 and -LR = 0.0.45 with AUC 0.812. Conclusions: These findings support potential roles of adiponectin, visfatin and resistin in early detection of CRC and discrimination of different groups of CRC, CP or IBD patients from normal healthy individuals.

• 응용통계연구
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• 제33권5호
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• pp.541-553
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• 2020

Receiver operating characteristic (ROC) 곡선은 민감도와 특이도로 표현되며, ROC 곡선을 이용하는 최적분류점도 민감도와 특이도만을 반영하지만, 본 연구에서는 질병률과 효용을 추가하여 고려하는 기대효용함수를 연구한다. 특히 교차하는 ROC 곡선들의 area under the ROC curve (AUC) 값들이 유사한 경우에 특정한 부분의 부분 AUC를 비교해야 한다. 본 연구에서는 정의된 민감도 직선과 특이도 직선을 바탕으로 각각 높은 민감도와 특이도를 나타내는 부분 AUC를 제안한다. ROC 곡선들이 교차하고 동일한 AUC 값을 갖는 다양한 분포함수를 설정하여, 민감도 직선과 특이도 직선을 이용하여 구한 부분 AUC를 비교하면서 모형의 판별력을 향상시키는 방법을 제안한다.

• Korean Journal of Radiology
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• 제21권9호
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• pp.1045-1054
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• 2020

Objective: This study aimed to evaluate the diagnostic value of combining the quantitative parameters of shear wave elastography (SWE) and superb microvascular imaging (SMI) to breast ultrasound (US) to differentiate between benign and malignant breast masses. Materials and Methods: A total of 200 pathologically confirmed breast lesions in 192 patients were retrospectively reviewed using breast US with B-mode imaging, SWE, and SMI. Breast masses were assessed based on the breast imaging reporting and data system (BI-RADS) and quantitative parameters using the maximum elasticity (Emax) and ratio (Eratio) in SWE and the vascular index in SMI (SMI_VI). The area under the receiver operating characteristic curve (AUC) value, sensitivity, specificity, accuracy, negative predictive value, and positive predictive value of B-mode alone versus the combination of B-mode US with SWE or SMI of both parameters in differentiating between benign and malignant breast masses was compared, respectively. Hypothetical performances of selective downgrading of BI-RADS category 4a (set 1) and both upgrading of category 3 and downgrading of category 4a (set 2) were calculated. Results: Emax with a cutoff value of 86.45 kPa had the highest AUC value compared to Eratio of 3.57 or SMI_VI of 3.35%. In set 1, the combination of B-mode with Emax or SMI_VI had a significantly higher AUC value (0.829 and 0.778, respectively) than B-mode alone (0.719) (p < 0.001 and p = 0.047, respectively). B-mode US with the addition of Emax, Eratio, and SMI_VI had the best diagnostic performance of AUC value (0.849). The accuracy and specificity increased significantly from 68.0% to 84.0% (p < 0.001) and from 46.1% to 79.1% (p < 0.001), respectively, and the sensitivity decreased from 97.6% to 90.6% without statistical loss (p = 0.199). Conclusion: Combining all quantitative values of SWE and SMI with B-mode US improved the diagnostic performance in differentiating between benign and malignant breast lesions.

• Journal of the Korean Data and Information Science Society
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• 제26권6호
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• pp.1367-1375
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• 2015

경시적자료의 분석으로 선형성장모형을 고려한다. 시간효과를 고려하는 모형과 임의효과를 추가하는 모형 그리고 가변수가 추가된 모형을 설정한다. 본 연구는 정규분포로 가정한 다양한 자료를 생성하고, 다양한 선형성장모형에 대하여 binormal ROC 곡선과 AUC 통계량을 여러 시점에서 구하여 비교 분석하였다. 공분산의 크기가 증가할수록 그리고 시간이 경과할수록 ROC 곡선은 다른 형태로 나타나며 AUC 값은 서서히 증가한다. 반대로 공분산이 작아질수록 시간이 경과함에 따라 AUC의 증가폭이 커진다. 임의효과모형에서 공분산이 양인 경우에 시간이 경과할수록 임의효과모형의 분산이 증가하며 AUC의 증가량은 시간효과모형의 AUC의 증가량보다 작다. 그리고 시간효과모형의 AUC의 증가량보다 임의효과모형의 증가량이 더 크다는 것을 탐색하였다.

• 문화기술의 융합
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• 제6권3호
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• pp.457-462
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• 2020

골다공증은 주로 노인에서 나타나는 질병으로써 뼈 질량 및 조직의 구조적 악화에 따라 골절의 위험을 증가시킨다. 본 연구의 목적은 영양소 성분과 골다공증과의 연관성을 파악하고, 영양소 성분을 기반으로 골다공증을 예측하는 모델을 생성 및 평가하는 것이다. 실험방법으로 binary logistic regression을 이용하여 연관성분석을 수행하였고, naive Bayes 알고리즘과 variable subset selection 메소드를 이용하여 예측 모델을 생성하였다. 단일 변수들에 대한 분석결과는 남성에서 식품섭취량과 비타민 B2가 골다공증을 예측하는데 가장 높은 the area under the receiver operating characteristic curve (AUC)값을 나타내었다. 여성에서는 단일불포화지방산이 가장 높은 AUC값을 나타내었다. 여성 골다공증 예측모델에서는 Correlation based feature subset 및 wrapper 기반 feature subset 메소드를 이용하여 생성된 모델이 0.662의 AUC 값을 얻었다. 남성에서 전체변수를 이용한 모델은 0.626의 AUC를 얻었고, 그외 남성 모델들에서는 민감도와 1-특이도에서 예측 성능이 매우 낮았다. 이러한 연구결과는 향후 골다공증 치료 및 예방을 위한 기반정보로 활용할수 있을 것으로 기대된다.

• 대한영상의학회지
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• 제83권6호
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• pp.1312-1326
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• 2022

목적 진행성 위암의 인접 장기 침범을 결정함에 있어 우측와위 CT의 추가적 가치를 살펴보았다. 대상과 방법 병리학적으로 입증된 T4a (p4a), 외과적 그리고 병리학적으로 입증된 T4b (sT4b, pT4b) 위암 환자 중 좌후사위 및 우측와위 자세가 포함된 프로토콜의 CT를 촬영한 환자 총 728명이 포함되었다. 2명의 영상의학과 전문의가 2주 간격으로 각각 우측와위 CT 없이, 우측와위 CT와 함께 좌후사위 CT를 분석하여 5점 척도를 사용하여 T 병기를 평가하고 종양과 인접 장기 사이의 "미끄러짐 징후"의 존재를 기록했다. 결과 564명의 환자(77.4%)가 pT4a로 진단되었다. 65명(8.9%)과 99명(13.6%)의 환자가 각각 pT4b, sT4b로 진단되었다. 좌후사위 CT 단독 분석에 비하여 우측와위 CT가 추가되었을 때, T4b와 T4a를 구별하기 위한 곡선 아래 면적(area under the curve; 이하 AUC) 값이 두 검토자 모두에서 유의하게 증가했다(Ps < 0.001). 하위집단분석에서 T4a와 췌장을 침범한 T4b 위암을 구별하기 위한 AUC 값 역시 두 검토자 모두에서 증가했다(Ps < 0.050). 관찰자 간 일치도 역시 향상되었다(가중 카파 계수, 0.296-0.444). 결론 진행위암에서 인접 장기 침범을 판단함에 있어, 우측와위 CT가 추가되었을 때 좌후사위 CT 단독 분석에 비해 더 높은 AUC 값과 관찰자 간 일치도를 보임으로써 추가적 가치가 있었다.

• Journal of Pharmaceutical Investigation
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• 제24권2호
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• pp.49-55
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• 1994

Bioequivalence test of commercially available rifampicin capsules was performed. Sixteen volunteers were divided into 2 groups and the reference and test drug were given orally (450 mg) by cross-over design. Statistical evaluation of AUC, $C_{max}\;and\;T_{max}$ involved an analysis of variance (ANOVA). The differences of mean value in AUC, $C_{max}\;and\;T_{max}$ between the reference and test drug were within 20% with reference drug. ANOVA showed no significant differences for ‘between group’, ‘drug’ and ‘period’, but not for ‘between subjects’. The power of test $(1-{\beta})\;of\;AUC\;and\;$C_{max}$ was larger than 0.8 and the confidence of bioavailability was $within\;{\pm}20%$. From these results, it was concluded that the two preparations were bioequivalent for AUC and $C_{max}$, but was not for $T_{max}$.

• Asian Pacific Journal of Cancer Prevention
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• 제15권1호
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• pp.363-368
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• 2014

Determination of the cause of malignant pleural effusions is important for treatment and management, especially in cases of unknown primaries. There are limited biomarkers available for prediction of the cause of malignant pleural effusion in clinical practice. Hence, we evaluated pleural levels of five tumor biomarkers (CEA, AFP, CA125, CA153 and CA199) in predicting the cause of malignant pleural effusion in a retrospective study. Kruskal-Wallis or Mann-Whitney U tests were carried out to compare levels of tumor markers in pleural effusion among different forms of neoplasia - lung squamous cell carcinoma, adenocarcinoma, or small cell carcinoma, mesothelioma, breast cancer, lymphoma/leukemia and miscellaneous. Receiver operator characteristic analysis was performed to evaluate sensitivity and specificity of biomarkers. The Kruskal-Wallis test showed significant differences in levels of pleural effusion CEA (P<0.01), AFP (P<0.01), CA153 (P<0.01) and CA199 (P<0.01), but not CA125 (P>0.05), among the seven groups. Receiver operator characteristic analysis showed that, compared with other four tumor markers, CA153 was the best biomarker in diagnosing malignant pleural effusions of lung adenocarcinoma (area under curve (AUC): 0.838 (95%confidence interval: 0.787, 0.888); cut-off value: 10.2U/ml; sensitivity: 73.2% (64.4-80.8)%, specificity: 85.2% (77.8-90.8)%), lung squamous cell carcinoma (AUC: 0.716 (0.652, 0.780); cut-off value: 14.2U/ml; sensitivity: 57.6% (50.7-64.3)%, specificity: 91.2% (76.3-98.0)%), and small-cell lung cancer (AUC: 0.812 (0.740, 0.884); cut-off value: 9.7U/ml; sensitivity: 61.5% (55.0-67.8)%, specificity: 94.1% (71.2-99.0)%); CEA was the best biomarker in diagnosing MPEs of mesothelioma (AUC: 0.726 (0.593, 0.858); cut-off value: 1.43ng/ml; sensitivity: 83.7% (78.3-88.2)%, specificity: 61.1% (35.8-82.6)%) and lymphoma/leukemia (AUC: 0.923 (0.872, 0.974); cut-off value: 1.71ng/ml; sensitivity: 82.8% (77.4-87.3)%, specificity: 92.3% (63.9-98.7)%). Thus CA153 and CEA appear to be good biomarkers in diagnosing different causes of malignant pleural effusion. Our findings implied that the two tumor markers may improve the diagnosis and treatment for effusions of unknown primaries.

• 한국방사선학회논문지
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• 제13권2호
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• pp.201-207
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• 2019

본 연구는 갑상샘 초음파에서 K-TIRADS 분류와 K-TIRADS 분류에 따른 Different risk group의 조합을 이용한 방법이 양성과 악성 결절의 감별진단에 유용한지를 평가하였다. 갑상샘 초음파를 시행한 210명을 대상으로 하였으며, 세침흡인세포검사 결과를 바탕으로 후향적인 분석을 하였다. 갑상샘 결절의 양성과 악성에 따른 K-TIRADS와 Different risk group의 점수체계의 차이 분석은 카이제곱 검정을 하였다. ROC 곡선 분석을 통해 악성 결절의 예측을 위한 K-TIRADS 점수와 Different risk group의 최적 cut off 값을 결정하였다. 양성과 악성 결절 군의 분류에 따른 K-TIRADS와 Different risk group의 차이검증 결과에서 각각 통계적으로 유의한 차이를 보였다(p=.001). ROC 곡선 분석에서 양성과 악성 결절의 예측을 위한 K-TIRADS에 따른 점수분류에서는 AUC 0.786, Cut-off value> 2를 나타내었으며, Different risk group에서는 AUC 0.640, Cut-off value> 2로 결정되었다(p=.001). 갑상샘 초음파에서 결절을 발견했을 때 양성과 악성 갑상샘 결절을 감별하는 데 도움을 주는 K-TIRADS에 따른 분류체계가 Different risk group에 따른 분류체계보다 갑상샘 결절의 감별진단에 도움을 줄 것으로 생각하며 K-TIRADS에 따른 분류체계를 적용하면, 불필요한 세포 검사를 줄일 수 있고, 악성 결절의 조기발견에 도움이 될 것으로 생각된다.