• 제목/요약/키워드: Real time diagnosis

검색결과 709건 처리시간 0.027초

Tissue CA125 and HE4 Gene Expression Levels Offer Superior Accuracy in Discriminating Benign from Malignant Pelvic Masses

  • Fawzy, Amal;Mohamed, Mohamed R;Ali, Mohamed AM;El-Magied, Mohamed H Abd;Helal, Amany M
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권1호
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    • pp.323-333
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    • 2016
  • Background: Ovarian cancer remains a major worldwide health care issue due to the lack of satisfactory diagnostic methods for early detection of the disease. Prior studies on the role of serum cancer antigen 125 (CA125) and human epididymis protein 4 (HE4) in detecting ovarian cancer presented conflicting results. New tools to improve the accuracy of identifying malignancy are urgently needed. We here aimed to evaluate the diagnostic utility of tissue CA125 and HE4 gene expression in comparison to serum CA125 and HE4 in discriminating benign from malignant pelvic masses. Materials and Methods: One-hundred Egyptian women were enrolled in this study, including 60 epithelial ovarian cancer (EOC) patients and 20 benign ovarian tumor patients, as well as 20 apparently healthy women. Preoperative serum levels of CA125 and HE4 were measured by immunoassays. Tissue expression levels of genes encoding CA125 and HE4 were determined by quantitative real time polymerase chain reaction (qRT-PCR). The diagnostic performance of CA125 and HE4, measured either as mRNA or protein levels, was evaluated by receiver operating characteristic (ROC) curves. Results: The serum CA125+HE4 combination and serum HE4, with area under the curve (AUC) values of 0.935 and 0.932, respectively, performed significantly better than serum CA125 (AUC=0.592; P<0.001). Tissue CA125 and HE4 (AUC=1) performed significantly better than serum CA125 (P<0.001), serum HE4 (P=0.016) and the serum CA125+HE4 combination (P=0.018). Conclusions: Measurement of tissue CA125 and HE4 gene expression not only improves discriminatory performance, but also broadens the range of differential diagnostic possibilities in distinguishing EOC from benign ovarian tumors.

Scabraside D Derived from Sea Cucumber Induces Apoptosis and Inhibits Metastasis via iNOS and STAT-3 Expression in Human Cholangiocarcinoma Xenografts

  • Assawasuparerk, Kanjana;Rawangchue, Thanakorn;Phonarknguen, Rassameepen
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권4호
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    • pp.2151-2157
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    • 2016
  • Scabraside D, a sulfated triterpene glycoside, was extracted from the sea cucumber Holothuria scabra. It shows anti-proliferation in many of cancer cell lines, but the function and mechanisms of action of scabraside D in human cholangiocarcinoma (HuCCA) have not previously determined. In this study, we investigated the activity of scabraside D on HuCCA cell apoptosis, lymphangiogenesis and metastasis in a nude mouse model. Scabraside D induced signs of apoptosis, such as cell shrinkage, nuclear condensation, nuclear fragmentation and DNA fragmentation on TUNEL assays, while effectively decreasing expression of BCl-2 but increasing caspase-3 gene level expression. Immunohistochemistry revealed that scabraside D significantly reduced lymphatic vessel density (LVD). Moreover, scabraside D treatment significantly decreased VEGF-C, MMP-9 and uPA gene expression, which play important roles in the lymphangiogenesis and invasion of cancer cells in metastasis processes. Quantitative real-time PCR showed that scabraside D significantly decreased iNOS and STAT-3 gene expression. This study demonstrated that scabraside D plays a role in activation of HuCCA tumor apoptosis and inhibition of lymphangiogenesis, invasion and metastasis through decreasing BCl-2, MMP-9, uPA and VEGF-C and increasing caspase-3 expression by suppression of iNOS and STAT-3 expression. Therefore, scabraside D could be a promising candidate for cholangiocarcinoma treatment.

Micro RNA 34a and Let-7a Expression in Human Breast Cancers is Associated with Apoptotic Expression Genes

  • Behzad, Mansoori;Ali, Mohammadi;Solmaz, Shirjang;Elham, Baghbani;Behzad, Baradaran
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권4호
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    • pp.1887-1890
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    • 2016
  • Breast cancer is the most common cause of cancer-related death among women in the whole world. MiR- 34a and let-7a are well known tumor suppressors that participate in the regulation of apoptosis, invasion and other cellular functions. In this study, expression of miR-34a, let-7a and apoptosis pathway genes such as Bcl-2, Caspase-3 and P53 were evaluated using quantitative real-time PCR in 45 paired samples of normal margin and tumor tissue collected from breast cancer patient at advanced stage (3-4). MiR-34a, let-7a, caspase-3 and P53 expression are reduced and Bcl-2 expression is increased within tumoral tissues in comparison with normal margin tissues. P53 expression directly or indirectly was correlated with miR-34a, let-7a, Bcl-2 and caspase-3 expression. In This study we found that MiR-34a and let-7a expression are reduced in the tumoral tissues. Down-regulation of these two molecules correlated with expression of genes associated with apoptosis. These results suggest that due to the correlation of miR-34a and let-7a with apoptotic and anti-apoptotic pathways these molecules could participate as regulators in advanced clinical stages of breast cancer and should be considered as markers for diagnosis, prognostic assessment and targeted therapy.

5-Aminolevulinic Acid Fluorescence in Detection of Peritoneal Metastases

  • Yonemura, Yutaka;Canbay, Emel;Ishibashi, Haruaki;Nishino, Eisei;Endou, Yoshio;Sako, Shouzou;Ogura, Shun-Ichirou
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권4호
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    • pp.2271-2275
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    • 2016
  • Background: The value of 5-aminolevulinic acid (ALA) in fluorescence detection of peritoneal metastases and the underlying mechanisms were evaluated in patients with peritoneal surface malignancies. Materials and Methods: Oral 5-ALA was administered at a concentration of 20 mg/kg body weight with 50 ml of water 2 hours prior to surgery (n=115). The diagnostic value of 5-ALA based fluorescence production was evaluated following white light inspection during prior to cytoreductive surgery and hyperthermic intraperitoneal chemotherapy. Then, peptide transporter PEPT1 (ALA influx transporter) and ATP-binding cassette transporter ABCG2 (porphyrin efflux transporter) gene expression was determined with quantitative real time (qRT)-PCR and pathological diagnoses confirmed for all tissue samples. Results: The 5-ALA based photodynamic detection rate was 17% for appendiceal mucinous neoplasms, 54% for colorectal cancers, 33% for gastric cancers, 67% for diffuse malign peritoneal mesotheliomas, and 89% for epithelial ovarian cancer of peritoneal metastases. 5-ALA was detected in all cases of peritoneal metastases originating from cholangiocarcinomas whereas it was not able to detect any in granulosa cell and gastrointestinal stromal tumor cases. Furthermore, PEPT1 was overexpressed whereas ABCG2 expression was downregulated in tumors detected with fluorescence. Conclusions: 5-ALA provided 100% specificity and high sensitivity to detect peritoneal metastases in subgroups of patients with peritoneal surface mailgnancies. ALA influx transporter PEPT1 and porphyrin efflux transporter ABCG2 genes are important in tumor specific 5-ALA induced fluorescence in vivo. Further studies should clarify diagnostic utility of 5-ALA in peritoneal surface malignancies.

Expression Analysis of MiR-21, MiR-205, and MiR-342 in Breast Cancer in Iran

  • Savad, Shahram;Mehdipour, Parvin;Miryounesi, Mohammad;Shirkoohi, Reza;Fereidooni, Forouzandeh;Mansouri, Fatemeh;Modarressi, Mohammad Hossein
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권3호
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    • pp.873-877
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    • 2012
  • MicroRNAs (miRNAs) are short non-coding RNA molecules characterized by their regulatory roles in cancer and gene expression. We analyzed the expression of miR-21, miR-205, and miR-342 in 59 patients with breast cancer. Samples were divided into three different groups according to their immunohistochemistry (IHC) classification: ER- positive and/or PR-positive group ($ER^+$ and/or $PR^+$; group I); HER2-positive group ($HER^{2+}$; group II); and ER/ PR/ HER2- negative ($ER^-$/ $PR^-$/ $HER^{2-}$; group III) as the triple negative group. The expression levels of the 3 miRNAs were analyzed in the tumor samples and the compared with the normal neighboring dissected tumor (NNDT) samples in all three groups. The expression of miR-21 was similar in all three groups. In patients positive for P53 by IHC, positive for axillary lymph node metastasis and higher tumor stages, it appeared to have significantly elevated. However, significant increase was not found among the 18 fibroadenoma samples. Both miR-205 and miR-342 expressions were significantly down regulated in group III. We conclude that miR-21 does not discriminate between different breast cancer groups. In contrast, miR-205 and miR-342 may be used as potential biomarkers for diagnosis of triple negative breast cancer.

Fracture 환자의 유형(무자극, 무침습) 재활촉진을 위한 외부궤도형 초음파 다층치료기의 설계 (Design of outside orbit style supersonic waves multi curer for Fracture patient's type (radish stimulation, radish invasion) rehalibitation promotion))

  • 김휘영
    • 한국컴퓨터산업학회논문지
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    • 제7권3호
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    • pp.245-252
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    • 2006
  • 양극화로 인한 소외계층이 심화되고 고령화에 따른 사회복지가 대응하는 시간적 간격이 너무나 커지고 있다. 특히, 독거노인 환자의 증가로 인한 무관심이 사회문제로 비화되고 있는 실정이다. 더불어, 재택 골절환자의 비율도 급상승하고 있다. 국내적으로는 BT기술, 의료솔루션 기술은 현대기술의보조적 역할보다는 중추적인 역할을 제공하고 창조적 기술로 활용할 수가 있다. 특히, 초음파를 골절치료에 적용하면, 뼈가 잘 안 붙는 뼈의 골절치료 기간을 40% 가량 줄일 수 있다는 논문자료도 있다. 본 연구에서는 초음파 작동주파수가 1mHz, 1.3mHz, 1.5mHz의Piezo-ceramic crystal tranducer물질을 가지는 초음파 발생원 각각 4개를 한조로 하여 양단에 사용하였고, 임피이던스 및 Phase측정결과에 따라 외부직경이 각각4mm, 5.4mm, 두께0.5mm, 길이 70mm의 트랜스듀스를 사용하였다. 용량 50mW급으로 제작하였고, 초음파분포도를 조사하였다. <중략> 차후 시스템을 보완하면 골다공증 환자에도 적용이 될 것이고, 본 연구에서는 시제품을 직접 설계하고 비정형화 특성을 연구하고 기본적인 형태를 모델링 하여 접근해 보고자 노력해 보았다.

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운기이론(運氣理論)의 한의학적(韓醫學的) 적용(適用)에 관(關)한 고찰(考察) (Adaptation UNGI Theory To Oriental Medicine)

  • 박용호;조학준
    • 대한한의학원전학회지
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    • 제19권1호통권32호
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    • pp.1-15
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    • 2006
  • UNGI(運氣) theory is one of the most important theory in Oriental medicine. But it's so difficult to adapt to real medic. Long time ago many Oriental Physicians disscussed this with other physicians, UNGI to Oriental Medicine, and so still now. Remarkably, it is important as a basic theory itself, UNGI exist as a special medic. We can see that in the book of ‘五運六氣韓醫學寶鑑’, ‘運氣演繹方藥篇’ and other such kind of books. The special thing is we can predict each man's disease through the date of his birth. And more, we can make out prescription for each person's health. In addition, by knowing his date of birth, we can calculate his date of pregnancy, and with the same way, we can also predict and prescript that he can be protected from his fateful disease. But, the way like this can make Oriental medic an astrology and a superstition. So I studied on this and concluded as follow, 1. UNGI theory is important in the Oriental Medicine not only in basic but on diagnosis and attendance. 2. Mechanical abuse in the past, make UNGI theory unbelievable. But Liu Ha-gan(劉河間) studied so deeply, and knew the right way to applicate UNGI theory on Oriental medic. 3. It is not logical the pregnant day counted thru birthday, so we have to percept this an abstract idea. And it founded detail way to count the pregnant day. 'UNGI' as a medical system, by knowing his birthday we can predict and prevent his fateful disease. Of course, I cannot find such substances in Neijing, and classic books on Oriental medicine. So queer at a glance, but clinically it has some valuable meanings. However, There's little to prove its foundation. It is similar to astrology, we cannot define its base. The problems we have to trace and find out.

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스마트무인기 비행운용프로그램 개발 (Development of Operational Flight Program for Smart UAV)

  • 박범진;강영신;유창선;조암
    • 한국항공우주학회지
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    • 제41권10호
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    • pp.805-812
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    • 2013
  • 스마트무인기의 비행제어컴퓨터는 탑재장비와의 입/출력 신호처리, 비행제어법칙 연산 그리고 고장진단 및 이중화 기능 등이 구현된 비행운용프로그램이 탑재되어 있다. 비행운용프로그램은 PowerPC 755 프로세서와 VxWorks 5.5 실시간운영체제 환경에서 개발되었다. 비행운용프로그램은 메모리 참조 모듈, 탑재장비 입/출력 신호처리 모듈 그리고 비행제어법칙 모듈로 구성되었고 각각의 모듈은 계층 구조로 설계되었다. 메모리 참조 모듈과 신호처리 모듈은 벤치 테스트를 통해 검증되었고, 비행제어법칙 모듈은 시뮬레이션 시험, 지상통합시험, 안전줄 시험 그리고 비행시험을 통해 검증되었다. 본 논문에서는 비행운용프로그램의 개발환경, 소프트웨어 구조 그리고 검증 및 관리방법에 대해서 기술하였다.

적외선 열화상 카메라를 이용한 탄소강관 용접부 결함검출 (Defect Detection of Carbon Steel Pipe Weld Area using Infrared Thermography Camera)

  • 권대주;정나라;김재열
    • Tribology and Lubricants
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    • 제30권2호
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    • pp.124-129
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    • 2014
  • The piping system accounts for a large portion of the machinery structure of a plant, and is considered as a very important mechanical structure for plant safety. Accordingly, it is used in most energy plants in the nuclear, gas, and heavy chemical industries. In particular, the piping system for a nuclear plant is generally complicated and uses the reactor and its cooling system. The piping equipment is exposed to diverse loads such as weight, temperature, pressure, and seismic load from pipes and fluids, and is used to transfer steam, oil, and gas. In ultrasound infrared thermography, which is an active thermography technology, a 15-100 kHz ultrasound wave is applied to the subject, and the resulting heat from the defective parts is measured using a thermography camera. Because this technique can inspect a large area simultaneously and detect defects such as cracks and delamination in real time, it is used to detect defects in the new and renewable energy, car, and aerospace industries, and recently, in piping defect detection. In this study, ultrasound infrared thermography is used to detect information for the diagnosis of nuclear equipment and structures. Test specimens are prepared with piping materials for nuclear plants, and the optimally designed ultrasound horn and ultrasound vibration system is used to determine damages on nuclear plant piping and detect defects. Additionally, the detected images are used to improve the reliability of the surface and internal defect detection for nuclear piping materials, and their field applicability and reliability is verified.

SAF 고정변에서 람블편모충(Giardia lamblia)시스트 검출을 위한 검사방법의 평가 (Evaluation of Giarydia lumblia Detection Method in Stool Specimens Fixed with SAF Solution)

  • 김영창;김재진;이근태
    • Parasites, Hosts and Diseases
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    • 제23권2호
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    • pp.285-292
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    • 1985
  • The present study has been designed as a basic study on laboratory diagnosis of giardiasis and to demonstrate a more effective method for the detection of Giardia lamblia cyst with the inherent advantages of minimizing both the number of stool examinations required and the interval of stool collections for estimating the real state of prevalence in the shortest time possible. There were 3 subject groups of 75 children each currently residing in an orphanage in Gunsan city, Jeonbuk province from which stool specimens were collected every day, every other day, and every 3 days. The procedure is as follows: 1) resuspend the InKed sample after fixation with SAF solution 2) centrifuge the sediment for 1 min. at 2, 000 rpm after straining through gauze into a tube 3) divide the sediment into 3 parts and use them for direct fecal smear, formalin-ether concentration (MGL) and zinc sulfate ($ZnSO_4$) floatation techniques. The results are summarized as follows: 1. Overall infection rate after 10 trials showed a 60% positive indication. The positive rate among children under 4 years old was significantly higher than the rate in children over 4 years old. No significant difference in rate by sex was observed. 2. The results of eBaminations by direct fecal smear and MGL techniques appeared more accurate than that obtained by $ZnSO_4$ ftoatation method as indicated by a higher positive rate. Of all three methods concerned, combinations of two demonstrated a higher positive rate than that shown by any one alone. 3. In three consecutive examinations under varying conditions such as different days, the cyst detection rate by MGL technique indicated 83%. In 5 examinations under the same varying conditions, the indicated rate was 94%. 4. The interval of stool collection proved to be insignificant for the cyst detection rate. In conclusion, both MGL method and modified fecal direct smear can provide a good cyst detection rate of G. lamblia provided that more than 3 consecutive examinations of stool under varying conditions are carried out.

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