• Archives of Plastic Surgery
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• 제37권6호
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• pp.808-814
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• 2010

Purpose: The sunken chest deformity without breast asymmetry is not a rare condition encountered in augmentation mammaplasty. Therefore, failure to recognize the deformity and improper surgical plan will lead to a suboptimal result. The authors review the experience of breast augmentation in simple sunken chest patient based on retrospectively collected data. Methods: From January, 2008 to January, 2009, patients with simple sunken chest underwent endoscopic submuscular augmentation mammaplasty through axilla, using silicone implants. Patient demographics were queried and outcomes were assessed. Results: Eleven patients (22 breasts) were followed up for 8.2 months after surgery. Sunken chests were augmented with implant size of approximately 248.9 cc (range: 213~286 cc) and contralateral chest with 211.4 cc (range: 180~235 cc). Simultaneous camouflaging the chest wall depression with breast augmentation resulted in good aesthetic outcome. All of the patients were satisfied with the surgery. There were no complications among all patients. Conclusion: We have demonstrated proper surgical planning with precise implant selection to optimize results in patients with small breast and simple sunken chest. Even though asymmetry still remains after the operation, it is still considered as acceptable.

• 대한의용생체공학회:의공학회지
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• 제40권2호
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• pp.48-54
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• 2019

This paper proposed a method of validation data augmentation for improving the grading accuracy of diabetic macular edema (DME) using deep learning. The data augmentation technique is basically applied in order to secure diversity of data by transforming one image to several images through random translation, rotation, scaling and reflection in preparation of input data of the deep neural network (DNN). In this paper, we apply this technique in the validation process of the trained DNN, and improve the grading accuracy by combining the classification results of the augmented images. To verify the effectiveness, 1,200 retinal images of Messidor dataset was divided into training and validation data at the ratio 7:3. By applying random augmentation to 359 validation data, $1.61{\pm}0.55%$ accuracy improvement was achieved in the case of six times augmentation (N=6). This simple method has shown that the accuracy can be improved in the N range from 2 to 6 with the correlation coefficient of 0.5667. Therefore, it is expected to help improve the diagnostic accuracy of DME with the grading information provided by the proposed DNN.

• 한국컴퓨터그래픽스학회논문지
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• 제30권4호
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• pp.19-29
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• 2024

본 논문에서는 의료 영상 분류를 위한 심층 신경망 훈련에서 StyleGAN 합성 영상의 데이터 증강 효과를 분석한다. 이를 위해 흉부 X선 영상에서의 폐렴 진단과 복부 CT 영상에서의 간전이암 분류 문제에서 StyleGAN 합성 영상을 이용하여 VGG-16 심층 합성곱 신경망 훈련을 수행한다. 실험에서 분류 결과에 대한 정량적, 정성적 분석을 통해 StyleGAN 데이터 증강이 특징 공간에서 클래스 외곽을 확장하는 특성을 보이며, 이와 같은 특성으로 인해 실제 영상과의 적절한 비율을 통해 혼합했을 때 분류 성능이 개선될 수 있음을 확인하였다.

• 대한두개안면성형외과학회지
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• 제17권1호
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• pp.20-24
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• 2016

Background: Midface concavity is a relatively common facial feature in East Asian populations. Paranasal augmentation is becoming an increasingly popular procedure for patients with mild concavity and normal occlusion. In this study, we evaluate clinical outcomes following a series of paranasal augmentation. Methods: A retrospective review was performed for patients with Class I occlusion who had undergone bilateral paranasal augmentation using custom-made silicone implants, between October 2005 and September 2013. Patient charts were reviewed for demographic information, concomitant operations, and postoperative complications. Preoperative and postoperative (1-month) photographs were used to evaluate operative outcome. Results: The review identified a total of 93 patients meeting study criteria. Overall, aesthetic outcomes were satisfactory. Five-millimeter thick silicone implant was used in 81 cases, and the mean augmentation was 4.26 mm for this thickness. Among the 93 patients, 2 patients required immediate implant removal due to discomfort. An additional 3 patients experienced implant migration without any extrusion. Nine patients complained of transient paresthesia, which had resolved by 2 weeks. There were no cases of hematoma or infection. All patients reported improvement in their lateral profile and were pleased at follow-up. Complications that arose postoperatively included 9 cases of numbness in the upper lip and 3 cases of implant migration. All cases yielded satisfactory results without persisting complications. Sensations were fully restored postoperatively after 1 to 2 weeks. Conclusion: Paranasal augmentation with custom-made silicone implants is a simple, safe, and inexpensive method that can readily improve the lateral profile of a patient with normal occlusion. When combined with other aesthetic procedures, paranasal augmentation can synergistically improve outcome and lead to greater patient satisfaction.

• Archives of Plastic Surgery
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• 제42권2호
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• pp.131-142
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• 2015

Literature indicates an increased risk of suicide among women who have had cosmetic breast implants. An explanatory model for this association has not been established. Some studies conclude that women with cosmetic breast implants demonstrate some characteristics that are associated with increased suicide risk while others support that the breast augmentation protects from suicide. A systematic review including data collection from January 1961 up to February 2014 was conducted. The results were incorporated to pre-existing suicide risk models of the general population. A modified suicide risk model was created for the female cosmetic augmentation mammaplasty candidate. A 2-3 times increased suicide risk among women that undergo cosmetic breast augmentation has been identified. Breast augmentation patients show some characteristics that are associated with increased suicide risk. The majority of women reported high postoperative satisfaction. Recent research indicates that the Autoimmune syndrome induced by adjuvants and fibromyalgia syndrome are associated with silicone implantation. A thorough surgical, medical and psycho-social (psychiatric, family, reproductive, and occupational) history should be included in the preoperative assessment of women seeking to undergo cosmetic breast augmentation. Breast augmentation surgery can stimulate a systematic stress response and increase the risk of suicide. Each risk factor of suicide has poor predictive value when considered independently and can result in prediction errors. A clinical management model has been proposed considering the overlapping risk factors of women that undergo cosmetic breast augmentation with suicide.

• Archives of Plastic Surgery
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• 제44권5호
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• pp.413-419
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• 2017

Background In breast reconstruction using implants after unilateral mastectomy, it is challenging to create a natural, ptotic contour, and asymmetry is a potential drawback. To achieve breast symmetry and an ideal shape for both breasts, we performed contralateral augmentation in patients undergoing breast reconstruction with implants. Methods Patients underwent unilateral mastectomy and 2-stage reconstruction. During the second stage of the procedure, contralateral augmentation mammoplasty was performed. Preoperatively, we obtained the patients' demographic information, and we then assessed breast volume, the volume and dimensions of the inserted implants, and complications. Breast symmetry was observed by the surgeon and was assessed by measuring the disparity between the final volume of each breast. Results Contralateral augmentation was performed in 52 cases. When compared to patients who did not undergo a contralateral balancing procedure, patients who received contralateral augmentation were younger, thinner, and had smaller breasts. During implant selection for contralateral augmentation, we chose implants that were approximately 1 cm shorter in width, 1 level lower in height, and 1 or 2 levels lower in projection than the implants used for reconstruction. The postoperative breast contours were symmetric and the final volume discrepancy between each breast, which was measured by 3-dimensional scanning, was acceptable. Conclusions We demonstrate that contralateral augmentation can be recommended for patients who perceive their breasts to be small and not beautiful in order to achieve an ideal and beautiful shape for both breasts. Furthermore, this study offers guidelines for selecting the implant that will lead to the optimal aesthetic outcome.

• 한국통신학회논문지
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• 제41권12호
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• pp.1861-1867
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• 2016

지난 2014년 한국형 SBAS (satellite based augmentation system)인 KASS (korea augmentation satellite system) 개발 구축 사업을 본격적으로 착수하였다. SBAS는 항공용으로 제정된 규격이지만, 비항공 분야에서도 활용이 가능하다. SBAS 규격으로 정해져 있는 메시지에 전송되는 정보의 종류 및 내용이 한정되어 있다. 전송되는 정보를 통해 센티미터 수준의 고정밀 위치 정보가 요구되는 분야에서 활용하기에는 정확도 수준이 낮기 때문에 추가적인 정보 제공이 필요하다. 비항공 분야에서 활용되는 정보를 항공기 항법에 영향을 주지 않으면서 안전하게 전송하기 위해서는 이에 대한 방법이 필요하다. 따라서, 이 논문에서는 항공용 SBAS 수신기에 대한 안전을 확보하면서 비항공 분야에서 활용할 수 있는 비규격 SBAS 데이터를 전송하는 방법에 대해 고찰하였다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제40권
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• pp.3.1-3.8
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• 2018

Background: In this research article, we evaluate the use of sub-periosteal tunneling (tunnel technique) combined with alloplastic in situ hardening biphasic calcium phosphate (BCP, a compound of β-tricalcium phosphate and hydroxyapatite) bone graft for lateral augmentation of a deficient alveolar ridge. Methods: A total of 9 patients with deficient mandibular alveolar ridges were included in the present pilot study. Ten lateral ridge augmentation were carried out using the sub-periosteal tunneling technique, including a bilateral procedure in one patient. The increase in ridge width was assessed using CBCT evaluation of the ridge preoperatively and at 4 months postoperatively. Histological assessment of the quality of bone formation was also carried out with bone cores obtained at the implant placement re-entry in one patient. Results: The mean bucco-lingual ridge width increased in average from 4.17 ± 0.99 mm to 8.56 ± 1.93 mm after lateral bone augmentation with easy-graft CRYSTAL using the tunneling technique. The gain in ridge width was statistically highly significant (p = 0.0019). Histomorphometric assessment of two bone cores obtained at the time of implant placement from one patient revealed 27.6% new bone and an overall mineralized fraction of 72.3% in the grafted area 4 months after the bone grafting was carried out. Conclusions: Within the limits of this pilot study, it can be concluded that sub-periosteal tunneling technique using in situ hardening biphasic calcium phosphate is a valuable option for lateral ridge augmentation to allow implant placement in deficient alveolar ridges. Further prospective randomized clinical trials will be necessary to assess its performance in comparison to conventional ridge augmentation procedures.

• 한국정보전자통신기술학회논문지
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• 제13권5호
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• pp.313-322
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• 2020

많은 양의 데이터는 딥 러닝 모델의 견고성을 향상시키고 과적합 문제를 방지할 수 있게 해준다. 자동 혀 분할에서, 혀 영상 데이터 세트를 실제로 수집하고 라벨링하는 데에는 많은 어려움이 수반되므로 많은 양의 혀 영상 데이터를 사용하기 쉽지 않다. 데이터 증강은 새로운 데이터를 수집하지 않고 레이블 보존 변환을 사용하여 학습 데이터 세트를 확장하고 학습 데이터의 다양성을 증가시킬 수 있다. 이 논문에서는 이미지 자르기, 회전, 뒤집기, 색상 변환과 같은 7 가지 데이터 증강 방법을 사용하여 확장된 혀 영상 학습 데이터 세트를 생성하였다. 데이터 증강 방법의 성능을 확인하기 위하여 InceptionV3, EfficientNet, ResNet, DenseNet 등과 같은 전이 학습 모델을 사용하였다. 실험 결과 데이터 증강 방법을 적용함으로써 혀 분할의 정확도를 5~20% 향상시켰으며 기하학적 변환이 색상 변환보다 더 많은 성능 향상을 가져올 수 있음을 보여주었다. 또한 기하학적 변환 및 색상 변환을 임의로 선형 조합한 방법이 다른 데이터 증강 방법보다 우수한 분할 성능을 제공하여 InveptionV3 모델을 사용한 경우에 94.98 %의 정확도를 보였다.

• 정보보호학회논문지
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• 제32권4호
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• pp.647-660
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• 2022

최근 정상 데이터와 일부 비정상 데이터를 보유한 환경에서 딥러닝 기반 준 지도 학습 이상 탐지 기법이 매우 효과적으로 동작함이 알려져 있다. 하지만 사이버 보안 분야와 같이 실제 시스템에 대한 알려지지 않은 공격 등 비정상 데이터 확보가 어려운 환경에서는 비정상 데이터 부족이 발생할 가능성이 있다. 본 논문은 비정상 데이터가 정상 데이터보다 극히 작은 환경에서 준 지도 이상 탐지 기법에 적용 가능한 섭동을 활용한 초구 기반 비정상 데이터 증강 기법인 ADA-PH(Abnormal Data Augmentation Method using Perturbation based on Hypersphere)를 제안한다. ADA-PH는 정상 데이터를 잘 표현할 수 있는 초구의 중심으로부터 상대적으로 먼 거리에 위치한 샘플에 대해 적대적 섭동을 추가함으로써 비정상 데이터를 생성한다. 제안하는 기법은 비정상 데이터가 극소수로 존재하는 네트워크 침입 탐지 데이터셋에 대하여 데이터 증강을 수행하지 않았을 경우보다 평균적으로 23.63% 향상된 AUC가 도출되었고, 다른 증강 기법들과 비교했을 때 가장 높은 AUC가 또한 도출되었다. 또한, 실제 비정상 데이터에 유사한지에 대한 정량적 및 정성적 분석을 수행하였다.