• Asian Pacific Journal of Cancer Prevention
• /
• v.15 no.5
• /
• pp.1949-1953
• /
• 2014

Background: CA125 and HE4 are used in calculating Risk of Malignancy Algorithm (ROMA); and Risk of Malignancy Index (RMI). However, studies showed that normal levels of CA125, and HE4 differ among ethnicities such as between Asians and Caucasians, thus affecting the accuracy of the RMI score and ROMA in predicting ovarian malignancy. This study aimed to determine whether new or modified cutoff values for Ca125, HE4, the RMI score, and ROMA resulted in a better prediction of malignancy compared with the previous or standard ones. Materials and Methods: Serum level of CA125 and HE4 from 128 patients with diagnosis of ovarian tumor that had been collected before surgery at Cipto Mangunkusumo General Hospital (CMH) in Jakarta from November 2010 until May 2011 were reviewed and analysed. The standard cutoff values of these biomarkers, RMI, and ROMA were modified by using logistic regression model. The modified cutoff values were compared to the standard cutoff values in terms of sensitivity, specificity, and accuracy. Results: The modified cutoff value of CA125, HE4, RMI score and ROMA were 165.2 U/mL, 103.4 pM, 368.7, 28/54. The sensitivity and specificity of the modified cutoff values CA125, HE 4, RMI score and ROMA in differentiating benign from malignant and borderline were 67% and 75,4%; 73.1% and 85.2%; 73.1% and 80.3%; and 77.6% and 86.9%. While the sensitivity and specificity of the standard cutoff value of CA125; HE4; RMI score; and ROMA were 91% and 24.6%; 83.6% and 65%; 80.6% and 65.6%; and 91.0% and 42.6%. The accuracy of modified cutoff values compared with standard cutoff values were: 71.2% vs 59.3%, 78.9% vs 75% vs, 76.5% vs 73.4%, and 82% vs 67.9%. Conclusions: The new or modified cutoff values of Ca125, HE4, RMI score and ROMA resulted in higher accuracy compared to the previous or standard ones, at the cost of reduced sensitivity.

• Communications for Statistical Applications and Methods
• /
• v.3 no.2
• /
• pp.13-19
• /
• 1996

Cook's distance(Cook, 1997) is one of the most widely used influence measures to assess the influence of single observations or sets of observations in the linear regression model. After computing Cook(1977) suggested guidelines based on a confidence ellipsoid for the regression parameter ${\beta}$. In this paper, we suggest cutoff values for Cook's distance cia Monte Carlo simulation, and compare them with Cook's guidelines. An example based on a real data set is given.

• Korean Journal of Radiology
• /
• v.23 no.12
• /
• pp.1260-1268
• /
• 2022

Objective: To propose standardized MRI-proton density fat fraction (PDFF) cutoff values for diagnosing hepatic steatosis, evaluated using contemporary PDFF measuring methods in a large population of healthy adults, using histologic fat fraction (HFF) as the reference standard. Materials and Methods: A retrospective search of electronic medical records between 2015 and 2018 identified 1063 adult donor candidates for liver transplantation who had undergone liver MRI and liver biopsy within a 7-day interval. Patients with a history of liver disease or significant alcohol consumption were excluded. Chemical shift imaging-based MRI (CS-MRI) PDFF and high-speed T2-corrected multi-echo MR spectroscopy (HISTO-MRS) PDFF data were obtained. By temporal splitting, the total population was divided into development and validation sets. Receiver operating characteristic (ROC) analysis was performed to evaluate the diagnostic performance of the MRI-PDFF method. Two cutoff values with sensitivity > 90% and specificity > 90% were selected to rule-out and rule-in, respectively, hepatic steatosis with reference to HFF ≥ 5% in the development set. The diagnostic performance was assessed using the validation set. Results: Of 921 final participants (624 male; mean age ± standard deviation, 31.5 ± 9.0 years), the development and validation sets comprised 497 and 424 patients, respectively. In the development set, the areas under the ROC curve for diagnosing hepatic steatosis were 0.920 for CS-MRI-PDFF and 0.915 for HISTO-MRS-PDFF. For ruling-out hepatic steatosis, the CS-MRI-PDFF cutoff was 2.3% (sensitivity, 92.4%; specificity, 63.0%) and the HISTO-MRI-PDFF cutoff was 2.6% (sensitivity, 88.8%; specificity, 70.1%). For ruling-in hepatic steatosis, the CS-MRI-PDFF cutoff was 3.5% (sensitivity, 73.5%; specificity, 88.6%) and the HISTO-MRI-PDFF cutoff was 4.0% (sensitivity, 74.7%; specificity, 90.6%). Conclusion: In a large population of healthy adults, our study suggests diagnostic thresholds for ruling-out and ruling-in hepatic steatosis defined as HFF ≥ 5% by contemporary PDFF measurement methods.

• The Korean Journal of Nuclear Medicine
• /
• v.28 no.3
• /
• pp.391-396
• /
• 1994

Carcinoembryonic Antigen is one of most frequently checked tumor markers in cancer management. We performed statistical analysis with serum CEA data of 2626 persons who received regular health examination and were thought to be free of active disease to determine the cutoff values of serum CEA level in normal Korean adults and to study the factors influencing serum CEA levels in normal subjects. 1) The cutoff values of serum CEA in normal Korean adults in general were 9.28ng/ml for men, 5.90 ng/ml for women. 2) Serum CEA level was influenced by age, present smoking history, sex, and abnormal findings in chest X ray. 3) Serum CEA level had no correlation with the history of amount of alcohol consumption or obesity. 4) Cutoff values of serum CEA in normal Korean adults were tabulated according to age, sex, and smoking history. Serum CEA level was influenced by age, sex, present smoking history and abnormal findings in chest X ray and cutoff values of serum CEA were tabulated according to age, sex, and smoking history.

• Journal of the Korean Geotechnical Society
• /
• v.35 no.8
• /
• pp.5-15
• /
• 2019

This study was conducted to propose a reasonable requirement regulation of cutoff barriers composed of bottom layer and vertical barrier of offshore landfill for the prevention of contaminant leakage. The bottom layer was composed of impermeable clay layer; vertical walls were composed of double walls; outer wall was composed of steel sheet pile which registed against outer force; cutoff vertical barrier took the role of inner wall. Seepage-advection-dispersion numerical analysis was conducted using SEEP/W and CTRAN/W programs under steady and unsteady flows. The results showed that the values calculated under steady flow showed higher migration of pollutant than those of unsteady flow. The values calculated under steady flow are more valid from a design point of view. Under steady flow and the bottom clay layer and when the vertical barrier are homogeneous and completely well installed, respectively, the minimum required cutoff regulations for hydraulic conductivity, thickness, and embedded depth of the bottom clay layer and vertical barrier were suggested.

• Journal of the Korean Geographical Society
• /
• v.39 no.6 s.105
• /
• pp.845-862
• /
• 2004

The aim of this study is to investigate distribution characteristics of incised meander cutoff in Gyeonggi and Gangwon Provinces of Central Korea. The density of meander cutoff is highest in the mountain rivers including Naerin and Dongdae flowing on Jeongseon-gun and Inje-gun of Gangwon Province. Most of meander cutoff process has been occurred repeatedly during the Quaternary period, especially concentrated in the period of climatic change between glacial and interglacial stages. In the aspect of the lithology, the density of cutoff is highest in sedimentary rock, but lowest in igneous rock. As for geological structure, its frequency is high at $11{\sim}20km$ westerly away from the Taebaek Mountains, at subsequent channel, lower part of resequent channel, and channels crossing the fault line. The relation between distance from the Taebaek Mountains and altitude is very obvious at the western side of the Taebaek Mountains. The values of altitude, height from riverbed, and stream order are highest at sedimentary rock and lowest at volcanic rock.

• Journal of Korean Dental Science
• /
• v.16 no.1
• /
• pp.47-62
• /
• 2023

Purpose: We aimed to investigate the objective cutoff values of unstimulated flow rates (UFR) and stimulated salivary flow rates (SFR) in patients with xerostomia and to present an optimal machine learning model with a classification and regression tree (CART) for all ages. Materials and Methods: A total of 829 patients with oral diseases were enrolled (591 females; mean age, 59.29±16.40 years; 8~95 years old), 199 patients with xerostomia and 630 patients without xerostomia. Salivary and clinical characteristics were collected and analyzed. Result: Patients with xerostomia had significantly lower levels of UFR (0.29±0.22 vs. 0.41±0.24 ml/min) and SFR (1.12±0.55 vs. 1.39±0.94 ml/min) (P<0.001), respectively, compared to those with non-xerostomia. The presence of xerostomia had a significantly negative correlation with UFR (r=-0.603, P=0.002) and SFR (r=-0.301, P=0.017). In the diagnosis of xerostomia based on the CART algorithm, the presence of stomatitis, candidiasis, halitosis, psychiatric disorder, and hyperlipidemia were significant predictors for xerostomia, and the cutoff ranges for xerostomia for UFR and SFR were 0.03~0.18 ml/min and 0.85~1.6 ml/min, respectively. Conclusion: Xerostomia was correlated with decreases in UFR and SFR, and their cutoff values varied depending on the patient's underlying oral and systemic conditions.

• Journal of Korean Society for Quality Management
• /
• v.22 no.1
• /
• pp.142-151
• /
• 1994

Optimum screening procedures using prior information are presented. An optimal cutoff value on the screening variable X minimizing the expected total cost is obtained for the normal model; it is assumed that a continuous screening variable X given a dichotomous performance variable T is normally distributed and that costs are incurred by screening inspection and misclassification errors. Methods for finding optimal cutoff values based on the prior distributions for unknown parameters are presented.

• Korean Journal of Fisheries and Aquatic Sciences
• /
• v.39 no.4
• /
• pp.313-317
• /
• 2006

To prepare oligouronic acids from high-molecular-weight alginates, sea tangle (Laminaria japonica) alginates were hydrolyzed at various pHs for 1 hr at 80$^{\circ}C$. The effects of hydrolysis pH (HpH) on the average molecular weight (AMW) and MW distribution ratios (DRs) in the hydrolyzed alginates were investigated. As HpH decreased, the DRs of the alginates with MW>500 kDa and MW=300-500 kDa decreased exponentially, while it increased exponentially for MW<50 kDa. For MW=100-300 kDa, DR increased exponentially as HpH fell from 5.0 to 3.5, and then decreased exponentially. Similarly, for MW=50-100 kDa, DR increased exponentially as HpH increased to 1.0 from 5.0, and then decreased exponentially. As HpH decreased, the MW cutoff size and AMW of alginates fraction with the highest DR were decreased. For HpH 4.5 and 5.0, the MW cutoff size with the highest DRs was MW=300-500 kDa; the DRs were 28.9 and 32.6%, respectively; and the AMW of both was about 400 kDa, for HpH 3.5 and 4.0, the cutoff size was MW=100-300 kDa; the DRs were about 28%: and the AMWs were both about 200 kDa. For HpH 3.0, the cutoff size was MW=50-100; the DR was 29.0%; and the AMW was 73 kDa. For HpH values below 2.0, the MW cutoff size with the highest DRs was MW<50 kDa, and all of the AMWs were below 28 kDa.

• Biomedical Science Letters
• /
• v.23 no.2
• /
• pp.118-127
• /
• 2017

Elevated serum uric acid and resting heart rate are risk factors and predictors of metabolic syndrome. However, few studies have examined the optimal cutoff value for serum uric acid and resting heart rate to predict metabolic syndrome in Korean adults. Subjects for this study were 22,302 adults (average age 45 years old), who underwent health screening examination from January 2010 to December 2012 at the Health Promotion Center of one hospital in Gyeonggi-do for general health check-up. The uric acid and resting heart rate cutoff values were calculated by ROC analysis for metabolic syndrome. Elevated serum uric acid and resting heart rate were associated with an increased prevalence of metabolic syndrome in Korean adults. The optimal cutoff value for uric acid level to predict metabolic syndrome in adults was 4.95 mg/dL (male 6.35, female 4.55) and optimal cutoff value for resting heart rate to predict metabolic syndrome was 68 beats per minute (male 66, female 68). However, serum uric acid and resting heart rate were found to have limitations for the diagnosis of metabolic syndrome.