• 제목/요약/키워드: Diagnostic rules

검색결과 60건 처리시간 0.022초

Comparative Study of Lumbar Magnetic Resonance Imaging and Myelography in Young Soldiers with Herniated Lumbar Disc

  • Kang, Suk-Hyung;Choi, Seung-Hong;Seong, Nak-Jong;Ko, Jung-Min;Cho, Eun-Suk;Ko, Kwang-Pil
    • Journal of Korean Neurosurgical Society
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    • 제48권6호
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    • pp.501-505
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    • 2010
  • Objective : This study was undertaken to compare the diagnostic performances of magnetic resonance imaging (MRI), MR myelography (MRM) and myelography in young soldiers with a herniated lumbar disc (HLD). Methods : Sixty-five male soldiers with HLD comprised the study cohort. A visual analogue scale for low back pain (VAS-LBP), VAS for leg radiating pain (VAS-LP), and Oswestry disability index (ODI) were applied. Lumbar MR, MRM, and myelographic findings were checked and evaluated by four independent radiologists, respectively. Each radiologist was asked to score (1 to 5) the degree of disc protrusion and nerve root compression using modified grading systems devised by the North American Spine Society and Pfirrmann and the physical examination rules for conscription in the Republic of Korea. Correlated coefficients between clinical and radiological factors were calculated. Interpretational reproducibility between MRI and myelography by four bases were calculated and compared. Results : Mean patient age was $20.5{\pm}1.1$. Mean VAS-LBP and VAS-LP were $6.7{\pm}1.6$ and $7.4{\pm}1.7$, respectively. Mean ODI was $48.0{\pm}16.2%$. Mean MRI, MRM, and myelography scores were $3.3{\pm}0.9$, $3.5{\pm}1.0$, and $3.9{\pm}1.1$, respectively. All scores of diagnostic performances were significantly correlated (p < 0.05). However, none of these scores reflected the severity of patients' symptoms. There was no statistical difference of interpretational reproducibility between MRI and myelography. Conclusion : Although MRI and myelography are based on different principles, they produce similar interpretational reproducibility in young soldiers with a HLD. However, these modalities do not reflect the severity of symptoms.

Automatic Sputum Color Image Segmentation for Lung Cancer Diagnosis

  • Taher, Fatma;Werghi, Naoufel;Al-Ahmad, Hussain
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제7권1호
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    • pp.68-80
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    • 2013
  • Lung cancer is considered to be the leading cause of cancer death worldwide. A technique commonly used consists of analyzing sputum images for detecting lung cancer cells. However, the analysis of sputum is time consuming and requires highly trained personnel to avoid errors. The manual screening of sputum samples has to be improved by using image processing techniques. In this paper we present a Computer Aided Diagnosis (CAD) system for early detection and diagnosis of lung cancer based on the analysis of the sputum color image with the aim to attain a high accuracy rate and to reduce the time consumed to analyze such sputum samples. In order to form general diagnostic rules, we present a framework for segmentation and extraction of sputum cells in sputum images using respectively, a Bayesian classification method followed by region detection and feature extraction techniques to determine the shape of the nuclei inside the sputum cells. The final results will be used for a (CAD) system for early detection of lung cancer. We analyzed the performance of a Bayesian classification with respect to the color space representation and quantification. Our methods were validated via a series of experimentation conducted with a data set of 100 images. Our evaluation criteria were based on sensitivity, specificity and accuracy.

Dual-Phase Approach to Improve Prediction of Heart Disease in Mobile Environment

  • Lee, Yang Koo;Vu, Thi Hong Nhan;Le, Thanh Ha
    • ETRI Journal
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    • 제37권2호
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    • pp.222-232
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    • 2015
  • In this paper, we propose a dual-phase approach to improve the process of heart disease prediction in a mobile environment. Firstly, only the confident frequent rules are extracted from a patient's clinical information. These are then used to foretell the possibility of the presence of heart disease. However, in some cases, subjects cannot describe exactly what has happened to them or they may have a silent disease - in which case it won't be possible to detect any symptoms at this stage. To address these problems, data records collected over a long period of time of a patient's heart rate variability (HRV) are used to predict whether the patient is suffering from heart disease. By analyzing HRV patterns, doctors can determine whether a patient is suffering from heart disease. The task of collecting HRV patterns is done by an online artificial neural network, which as well as learning knew knowledge, is able to store and preserve all previously learned knowledge. An experiment is conducted to evaluate the performance of the proposed heart disease prediction process under different settings. The results show that the process's performance outperforms existing techniques such as that of the self-organizing map and gas neural growing in terms of classification and diagnostic accuracy, and network structure.

배기가스 저감을 위한 연소진단 시스템의 개발 (Development of Combustion Diagnostic System for Reducing the Exhausting Gas)

  • 이태영
    • 한국산업융합학회 논문집
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    • 제4권4호
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    • pp.403-411
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    • 2001
  • A criterion for evaluation of burners has changed recently, and the environmental problems are raised as a global issue. Burners with higher thermal efficiency and lower oxygen in the exhaust gas, evaluated better. To comply with environmental regulations, burners must satisfy the $NO_x$ and CO regulation. Consequently. 'good burner' means one whose thermal efficiency is high under the constraint of $NO_x$ and CO consistency. To make existing burner satisfy recent criterion, it is highly recommended to develop a feedback control scheme whose output is the consistency of $NO_x$ and CO. This paper describes the development of a real time flame diagnosis technique that evaluate and diagnose the combustion states, such as consistency of components in exhaust gas, stability of flame in the quantitative sense. In this paper, it was proposed on the flame diagnosis technique of burner using Neuro- Fuzzy algorithm. This study focuses on the relation of the color of the flame and the state of combustion. Neuro- Fuzzy learning algorithm is used in obtaining the fuzzy membership function and rules. Using the constructed inference algorithm, the amount of $NO_x$ and CO of the combustion gas was successfully inferred.

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사회적 의사소통장애의 임상적 이해 (Clinical Implications of Social Communication Disorder)

  • 신석호
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제28권4호
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    • pp.192-196
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    • 2017
  • Social (pragmatic) communication disorder (SCD) is a new diagnosis included under communication disorders in the neurodevelopmental disorders section of Diagnostic and Statistical Manual of Mental Disorders-5. SCD is defined as a primary deficit in the social use of nonverbal and verbal communication. SCD has very much in common with pragmatic language impairment, which is characterized by difficulties in understanding and using language in context and following the social rules of language, despite relative strengths in word knowledge and grammar. SCD and Autism Spectrum Disorder (ASD) are similar in that they both involve deficits in social communication skills, however individuals with SCD do not demonstrate restricted interests, repetitive behaviors, insistence on sameness, or sensory abnormalities. It is essential to rule out a diagnosis of ASD by verifying the lack of these additional symptoms, current or past. The criteria for SCD are qualitatively different from those of ASD and are not equivalent to those of mild ASD. It is clinically important that SCD should be differentiated from high-functioning ASD (such as Asperger syndrome) and nonverbal learning disabilities. The ultimate goals are the refinement of the conceptualization, development and validation of assessment tools and interventions, and obtaining a comprehensive understanding of the shared and unique etiologic factors for SCD in relation to those of other neurodevelopmental disorders.

치과 X선발생장치 및 방어에 관한 조사연구 (A LIMITED SURVEY OF DENTAL X-RAY UNITS AND PROTECTION IN KOREA)

  • 박태원
    • 치과방사선
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    • 제10권1호
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    • pp.57-61
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    • 1980
  • In dental roentgenograph it is of mutual benefit to the patient and the dentist to use the minimum amount of radiation capable of producing roentgenograms with maximum interprtive informations. Recent increases in the number of diagnostic x-ray examinations made in this country have caused attention to be paid to the quantity of radiation delivered to the population and operator. The purposes of this study was to assess the quality of dental x-ray units, the amount of films, the average processing procedures and the radiation protection methods in korea. The results were as following: 1. Most of radiation generating system were used in low voltage such as 60Kvp, 10㎃. 2. High sensitivity films such as 'D' group of Kodak or Rinn were mainly used and average 14.7 films used per weeks. 3. Some dentists practiced visual processing technic in simple dark room, and others used instant films. 4. 68.26% of patient held the film themselves, but 27.30% were assisted by dentists film holding. 5. In radiation protection method, 7.85% of dentists had protection equipments such as protective barrier, 2.73% wore protective apron, 27.9% made it a rules to avoid beam, and 7.51% used to maintain a distance from the radiation source.

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Contextual information 을 이용한 P파 검출에 관한 연구 (Improvement of ECG P wave Detection Performance Using CIR(Contextusl Information Rule-base) Algorithm)

  • 이지연;김익근
    • 대한의용생체공학회:의공학회지
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    • 제17권2호
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    • pp.235-240
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    • 1996
  • The automated ECG diagnostic systems that are odd in hospitals have low performance of P-wave detection when faced with some diseases such as conduction block. So, the purpose of this study was the improvement of detection performance in conduction block which is low in P-wave detection. The first procedure was removal of baseline drift by subtracting the median filtered signal of 0.4 second length from the original signal. Then the algorithm detected R peak and T end point and cancelled the QRS-T complex to get'p prototypes'. Next step was magnification of P prototypes with dispersion and detection of'p candidates'in the magnified signal, and then extraction of contextual information concerned with P-waves. For the last procedure, the CIR was applied to P candidates to confirm P-waves. The rule base consisted of three rules that discriminate and confirm P-waves. This algorithm was evaluated using 500 patient's raw data P-wave detection perFormance was in- creased 6.8% compared with the QRS-T complex cancellation method without application of the rule base.

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한방 망진의 찰색을 위한 표준화 및 색 기준 설정안의 제안 (Suggestion of a Basis Color and Standardization for Observing a Person's Face Color of Ocular Inspection)

  • 이세환;김봉현;조동욱
    • 정보처리학회논문지B
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    • 제15B권5호
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    • pp.397-406
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    • 2008
  • 한의학은 진단 및 치료에 있어 뛰어난 우수성을 가지고 있음에도 불구하고 서양의학에 비해 선호도가 떨어진다. 이는 질병 진단에 있어 객관적인 진단 결과를 제공해 주는 서양의학에 비해 한의학은 임상의의 직관에 의존하고 있기 때문이다. 따라서 한방 임상의들의 직관을 객관화하여 기기로 구현 한다면 한방에 대한 선호도 상승 및 한의학의 세계 시장 진출도 크게 증대할 것으로 여겨진다. 특히 한의학의 진단법 중 가장 뛰어난 진단법으로 평가되는 망진의 경우 다른 진단법에 비해 관련 연구가 거의 이루어 지지 않고 있다. 이는 망진의 가장 중요한 요소인 찰색에 있어 실제 색의 분석을 위한 디지털 기기에서의 색 분석 기준이 없기 때문이다. 이를 위해 본 논문에서는 찰색을 기기로 구현하기 위한 절대적인 색 기준의 설정을 제시하고자 한다. 따라서 색 분석을 위해 여러 가지 디지털 색체계를 비교 분석하여 찰색을 위해 어느 디지털 색체계가 가장 효율적인 색 체계인지를 제시하고자 한다. 아울러 실험 환경의 차이에 따라 발생할 수 있는 변수를 최대한 줄이기 위한 실험 환경 및 조건에 대한 표준화를 제안하고자 한다.

진단용 방사선 관련 업무 종사자의 피폭관리에 관한 연구 (A Study on the Management of Exposure of Workers and Assistants Related to Diagnostic Radiation)

  • 임창선
    • 의료법학
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    • 제22권3호
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    • pp.97-124
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    • 2021
  • 의료기관에는 진단용 방사선 발생장치를 취급하는 방사선사, 의사, 치과의사, 치과위생사 등 방사선 관계 종사자가 있다. 그리고 간호사, 간호조무사 등 방사선진료를 보조하거나 방사선 검사실로 환자이송 등을 하는 업무 보조자들이 있다. 방사선 관계 종사자는「의료법」 등에 의해 방사선 피폭관리가 이루어지고 있으나 방사선 진료업무 보조자 등은 이에 대한 법적 근거가 없는 실정이다. 또한 진단용 방사선 피폭관리는 의료법령에 의해 규율되고 있고, 치료용 방사선과 핵의학검사에 의한 방사선 피폭관리는「원자력안전법」의 규율을 받고 있다. 이에 진단용 방사선에 의한 피폭관리를 개선하기 위하여「의료법」 상 진단용 방사선 피폭관리에 관한 규정과「원자력안전법」 상 관련 규정들을 비교·검토하여 보았다. 그 결과로 얻은 주요 내용은 다음과 같다. 첫째, 진단용 방사선에 의한 피폭관리 대상으로 방사선 관계 종사자 외에 방사선 피폭 우려가 있는 간호사, 간호조무사, 임상실습 학생 등을 포함시켜 입법적으로 해결할 필요가 있다. 둘째,「원자력안전법」에서처럼 진단용 방사선 관계 종사자가 임신이 확인된 경우에는 피폭선량 한도를 명문으로 규정해야 한다. 셋째,「진단용 방사선 발생장치의 안전관리에 관한 규칙」의 개인피폭선량계의 종류에 관한 규정을 현실에 맞게 개정할 필요가 있다. 넷째, 방사선 관계 종사자, 방사선작업종사자와 수시출입자에 대한 건강진단의 검사항목은 동일해야 할 것으로 보인다. 다섯째, 의료기관에서 진단용 방사선뿐만 아니라 치료용 방사선과 핵의학을 포함한 의료용 방사선 전체를 하나의 법체계에서 통일하여 규율하는 것이 필요하다고 본다.

X선촬영실 내에서의 공간산란선량 변동에 관한 연구 (A Study on the Behavior of the Free Space Scatter dose in X-ray Diagnostic Room)

  • 오현주;김성수;김영일;임한영;김흥태;이후민;김학성;이상석
    • 대한방사선기술학회지:방사선기술과학
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    • 제17권2호
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    • pp.21-27
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    • 1994
  • In this pauper, when the X-ray exposure condition is 70, 90, 110 kV, 10 mAs, FFD 180 cm, FSO $10{\times}10$, $35{\times}35\;cm$, toward the $36{\times}36{\times}15\;cm$ acryl phantom, the free space scatter dose rate at the 15th points in X-ray diagnostic room was measured by electrometer and 1800 co ionization chamber. Therefore, the free space scatter dose distribution profile was drown, and then, the free space scatter dose contribution percentage was Investigated. The obtained results are summarized as following. 1. The X-ray tube leakage dose rate of the experiment generator at the 1 m from focus was measured maximum 85 mR/hr, minimum 20 mR/hr, therefore, this values was appeared below the KS rules, 2. The free space scatter dose become to larger at the primary X-ray beam around area, and lower at the back ward X-ray tube. The maximum values were 3,812 mR/hr at the front Lt 1 m $45^{\circ}$ point, minimum 117 mR/hr at the back ward 1 m $180^{\circ}C$ point. 3. As the more tube voltage and field size increase, the more free space scatter dose contribution percentage become to increase, as to 90 kV from 70 kV, increase to 12 %, to 110 kV from 90 kV, increase to 18 %, and then, become to 11 % at the $10{\times}10\;cm$ and 87 % at the $35{\times}35\;cm$. 4. The 89 % of the total producted scatter ray occured from acryl phantom, at the X-ray tube housing 6 %, at the front side back wall 5 %. 5. The free space scatter dose contribution percentage at the one point build up 80 % from the phanton direction, 14 % from the X-ray tube and collimator direction, 2.2 % from the front wall, 1.8 % from the side wall, 1.7 % the back wall.

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