• Title/Summary/Keyword: MCI model

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Quality Reporting of Radiomics Analysis in Mild Cognitive Impairment and Alzheimer's Disease: A Roadmap for Moving Forward

  • So Yeon Won;Yae Won Park;Mina Park;Sung Soo Ahn;Jinna Kim;Seung-Koo Lee
    • Korean Journal of Radiology
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    • v.21 no.12
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    • pp.1345-1354
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    • 2020
  • Objective: To evaluate radiomics analysis in studies on mild cognitive impairment (MCI) and Alzheimer's disease (AD) using a radiomics quality score (RQS) system to establish a roadmap for further improvement in clinical use. Materials and Methods: PubMed MEDLINE and EMBASE were searched using the terms 'cognitive impairment' or 'Alzheimer' or 'dementia' and 'radiomic' or 'texture' or 'radiogenomic' for articles published until March 2020. From 258 articles, 26 relevant original research articles were selected. Two neuroradiologists assessed the quality of the methodology according to the RQS. Adherence rates for the following six key domains were evaluated: image protocol and reproducibility, feature reduction and validation, biologic/clinical utility, performance index, high level of evidence, and open science. Results: The hippocampus was the most frequently analyzed (46.2%) anatomical structure. Of the 26 studies, 16 (61.5%) used an open source database (14 from Alzheimer's Disease Neuroimaging Initiative and 2 from Open Access Series of Imaging Studies). The mean RQS was 3.6 out of 36 (9.9%), and the basic adherence rate was 27.6%. Only one study (3.8%) performed external validation. The adherence rate was relatively high for reporting the imaging protocol (96.2%), multiple segmentation (76.9%), discrimination statistics (69.2%), and open science and data (65.4%) but low for conducting test-retest analysis (7.7%) and biologic correlation (3.8%). None of the studies stated potential clinical utility, conducted a phantom study, performed cut-off analysis or calibration statistics, was a prospective study, or conducted cost-effectiveness analysis, resulting in a low level of evidence. Conclusion: The quality of radiomics reporting in MCI and AD studies is suboptimal. Validation is necessary using external dataset, and improvements need to be made to feature reproducibility, feature selection, clinical utility, model performance index, and pursuits of a higher level of evidence.

Influences of Autonomic Function, Salivary Cortisol and Physical Activity on Cognitive Functions in Institutionalized Older Adults with Mild Cognitive Impairment: Based on Neurovisceral Integration Model (요양병원에 입원한 경도 인지장애 노인의 자율신경 기능, 타액 코티졸과 신체활동 정도가 인지기능에 미치는 영향: Neurovisceral Integration Model 기반)

  • Suh, Minhee
    • Journal of Korean Academy of Nursing
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    • v.51 no.3
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    • pp.294-304
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    • 2021
  • Purpose: This study aimed to investigate objectively measured physical activity (PA) in institutionalized older adults with mild cognitive impairment (MCI) and to elucidate the influence of autonomic nervous function, salivary cortisol, and PA on cognitive functions based on neurovisceral integration model. Methods: Overall cognitive function was evaluated using the mini-mental state examination (MMSE) and executive function was evaluated using semantic verbal fluency test and clock drawing test. Actigraph for PA, HRV and sAA for autonomous function, and the geriatric depression scale for depression were used. Saliva specimens were collected in the morning for sAA and cortisol. Results: Ninety-eight older adults from four regional geriatric hospitals participated in the study. They took 4,499 steps per day on average. They spent 753.93 minutes and 23.12 minutes on average in sedentary and moderate-to-vigorous activity, respectively. In the multiple regression analysis, lower salivary cortisol level (β = - .33, p = .041) and greater step counts (β = .37, p = .029) significantly improved MMSE score. Greater step count (β = .27, p = .016) also exerted a significant influence on verbal fluency, and greater sAA (β= .35, p = .026) was significantly associated with a better clock drawing test result. Conclusion: Salivary cortisol, sAA and physical activity were significantly associated with cognitive functions. To prevent older adults from developing dementia, strategies are needed to increase their overall PA amount by decreasing sedentary time and to decrease salivary cortisol for cognitive function, and to maintain their sympathetic nervous activity for executive function.

The Integrity Verification of Tube-end Sleeve by ECT (와전류탐상검사에 의한 튜브엔드 슬리브 건전성 검증)

  • Kim, Su Jin;Kwon, Kyung Joo;Suk, Dong Hwa;Park, Ki Tae
    • Transactions of the Korean Society of Pressure Vessels and Piping
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    • v.11 no.1
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    • pp.20-24
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    • 2015
  • Steam generator(S/G) tubes in pressurized water reactor (PWR's) are subject to several types of degradation. This degradation includes denting, pitting, intergranular attack(IGA), intergranular stress corrosion cracking(IGSCC), fatigue, fretting and wear. Degradation can be derived from either the primary side(inside) or the secondary side(outside) of the tube. Recent issue for tube degradation in domestic steam generator is the tube end cracking on seal weld region. The seal weld region at the tube end and tube itself is regarded as a pressure boundary between the primary side and the secondary side. One of the Westinghouse Model-F S/G has experienced tube end cracking and its number of plugging approximately becomes to the operating limit up to 5% due to tube end cracking which was reported as SAI/MAI(single/multiple axial indication) or SCI/MCI(Single/multiple circumferential indication) from the results of eddy current testing. Eddy current mock-up test was carried out to determine the origin of cracking whether it is from weld zone area or parent tube. This result was helpful to analyze crack location on ECT data. Correct action on this problem was the installation of tube-end sleeve. Last year, after removing 340 installed plugs from tubes, selected 269 tubes took tube-end sleeve installation. Tube-end sleeve brought pressure boundary from parent tube to installed sleeve tube. Tube-end sleeve has the benefit of reducing outage period and increasing more revenue than replacing S/G. This paper is provided to assist interest parties in effectively understanding this issue.

A Study on the Forecasting Model on Market Share of a Retail Facility -Focusing on Extension of Interaction Model- (유통시설의 시장점유율 예측 모델에 관한 연구 -상호작용 모델의 확장을 중심으로)

  • 최민성
    • Journal of Distribution Research
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    • v.5 no.2
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    • pp.49-68
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    • 2001
  • In this chapter, we summarize the results on the optimal location selection and present limitation and direction of research. In order to reach the objective, this study selected and tested the interaction model which obtains the value of co-ordinates on location selection through the optimization technique. This study used the original variables in the model, but the results indicated that there is difference in reality. In order to overcome this difference, this study peformed market survey and found the new variables (first data such as price, quality and assortment of goods, and the second data such as aggregate area, and area of shop, and the number of cars in the parking lot). Then this study determined an optimal variable by empirical analysis which compares an actual value of market share in 1988 with the market share yielded in the model. However, this study found the market share in each variables does not reflect a reality due to an assumption of λ-value in the model. In order to improve this, this study performed a sensitivity analysis which adds the λ value from 1.0 to 2.9 marginally. The analyzed result indicated the highest significance with the market share ratio in 1998 at λ of 1.0. Applying the weighted value to a variable from each of the first data and second data yielded the results that more variables from the first data coincided with the realistic rank on sales. Although this study have some limits and improvements, if a marketer uses this extended model, more significant results will be produced.

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