• Title/Summary/Keyword: Reconstruction Analysis

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Comparison of the Clinical Outcomes of Reconstruction Methods After Distal Gastrectomy: A Systematic Review and Meta-Analysis Based on Randomized Controlled Trials

  • Min, Jae-Seok;Kim, Rock Bum;Seo, Kyung Won;Jeong, Sang-Ho
    • Journal of Gastric Cancer
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    • v.22 no.2
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    • pp.83-93
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    • 2022
  • Background: To analyze the short- and long-term clinical outcomes of 2 reconstruction methods after distal gastrectomy for gastric cancer. Methods: Three keywords, "gastric neoplasm," "distal gastrectomy," and "reconstruction," were used to search PubMed. We selected only randomized controlled trial that compared the anastomosis methods. A total of 11 papers and 8 studies were included in this meta-analysis. All statistical analyses were performed using the R software. Results: Among short-term clinical outcomes, a shorter operation time, reduced morbidity, and shorter hospital stay were found for Billroth type I (B-I) than for Roux-en-Y (RNY) reconstruction in the meta-analysis (P<0.001, P=0.048, P<0.001, respectively). When comparing Billroth type II (B-II) to RNY, the operation time was shorter for B-II than for RNY (P<0.019), but there were no differences in morbidity or length of hospital stay (P=0.500, P=0.259, respectively).Regarding long-term clinical outcomes related to reflux, there were significantly fewer incidents of reflux esophagitis, reflux gastritis, and bile reflux (P=0.035, P<0.001, P=0.019, respectively) for RNY than for B-I in the meta-analysis, but there was no difference between the 2 methods in residual food (P=0.545). When comparing B-II to RNY, there were significantly fewer incidents of reflux gastritis (P<0.001) for RNY than for B-II, but the amount of residual food and patient weight gain showed no difference. Conclusion: B-I had the most favorable short-term outcomes, but RNY was more advantageous for long-term outcomes than for other methods. Surgeons should be aware of the advantages and disadvantages of each type of anastomosis and select the appropriate method.

Photon Counting Linear Discriminant Analysis with Integral Imaging for Occluded Target Recognition

  • Yeom, Seok-Won;Javidi, Bahram
    • Journal of the Optical Society of Korea
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    • v.12 no.2
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    • pp.88-92
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    • 2008
  • This paper discusses a photon-counting linear discriminant analysis (LDA) with computational integral imaging (II). The computational II method reconstructs three-dimensional (3D) objects on the reconstruction planes located at arbitrary depth-levels. A maximum likelihood estimation (MLE) can be used to estimate the Poisson parameters of photon counts in the reconstruction space. The photon-counting LDA combined with the computational II method is developed in order to classify partially occluded objects with photon-limited images. Unknown targets are classified with the estimated Poisson parameters while reconstructed irradiance images are trained. It is shown that a low number of photons are sufficient to classify occluded objects with the proposed method.

A Comparative Study of Medical Data Classification Methods Based on Decision Tree and System Reconstruction Analysis

  • Tang, Tzung-I;Zheng, Gang;Huang, Yalou;Shu, Guangfu;Wang, Pengtao
    • Industrial Engineering and Management Systems
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    • v.4 no.1
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    • pp.102-108
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    • 2005
  • This paper studies medical data classification methods, comparing decision tree and system reconstruction analysis as applied to heart disease medical data mining. The data we study is collected from patients with coronary heart disease. It has 1,723 records of 71 attributes each. We use the system-reconstruction method to weight it. We use decision tree algorithms, such as induction of decision trees (ID3), classification and regression tree (C4.5), classification and regression tree (CART), Chi-square automatic interaction detector (CHAID), and exhausted CHAID. We use the results to compare the correction rate, leaf number, and tree depth of different decision-tree algorithms. According to the experiments, we know that weighted data can improve the correction rate of coronary heart disease data but has little effect on the tree depth and leaf number.

Facial Expression Recognition Method Based on Residual Masking Reconstruction Network

  • Jianing Shen;Hongmei Li
    • Journal of Information Processing Systems
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    • v.19 no.3
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    • pp.323-333
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    • 2023
  • Facial expression recognition can aid in the development of fatigue driving detection, teaching quality evaluation, and other fields. In this study, a facial expression recognition method was proposed with a residual masking reconstruction network as its backbone to achieve more efficient expression recognition and classification. The residual layer was used to acquire and capture the information features of the input image, and the masking layer was used for the weight coefficients corresponding to different information features to achieve accurate and effective image analysis for images of different sizes. To further improve the performance of expression analysis, the loss function of the model is optimized from two aspects, feature dimension and data dimension, to enhance the accurate mapping relationship between facial features and emotional labels. The simulation results show that the ROC of the proposed method was maintained above 0.9995, which can accurately distinguish different expressions. The precision was 75.98%, indicating excellent performance of the facial expression recognition model.

Perfect Reconstruction in Sub-Nyquist Nonuniform Sampling of Signals with Known upper Time-frequency Boundary (비 균일 표본화 신호의 완전 복구에 관한 연구)

  • 이희영;정현권
    • Proceedings of the IEEK Conference
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    • 2002.06e
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    • pp.9-12
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    • 2002
  • The problem of sub-Nyquist nonuniform sampling for the perfect reconstruction of signals with time-varying spectral contents is studied. The signals are assumed to have a known instantaneous bandwidth in time-frequency domain. As the function of time, the nonuniform sampling pattern of a given signal, that is, the instantaneous sampling frequency is determined by the observation of instantaneous bandwidth based on time-frequency analysis. The proposed sampling pattern guarantees the perfect reconstruction of nonuniform sampled signals under Nyquist-sampling rate in average.

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Error Analysis in the Numerical Solution of Rayleigh Integral (Rayleigh 적분의 수치해에 관한 오차분석)

  • 이금원;김병기
    • Journal of Biomedical Engineering Research
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    • v.11 no.1
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    • pp.89-96
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    • 1990
  • The numerical evaluation of Rayleigh's integral for the sound source reconstruction can be speeded up by the use of angular frequency propagation method and the FFT. However, are several source of errors involved during the reconstruction. Besides the aliasing error due to undersampling in space, the wrap around error. which is caused by undersampling the kernel functionin frequency domain, and windowing effect are present. We found that there is no replicated source problem and the windowing effect is due to the windowing the kernel function In frequency domain, and, xero padding is always required to improve the quality of reconstruction.

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Scalp reconstruction: A 10-year experience

  • Jang, Hyeon Uk;Choi, Young Woong
    • Archives of Craniofacial Surgery
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    • v.21 no.4
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    • pp.237-243
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    • 2020
  • Background: The scalp is an important functional and aesthetic structure that protects the cranial bone. Due to its inelastic characteristics, soft-tissue defects of the scalp make reconstruction surgery difficult. This study aims to provide an improved scalp reconstruction decision making algorithm for surgeons. Methods: This study examined patients who underwent scalp reconstruction within the last 10 years. The study evaluated several factors that surgeons use to select a given reconstruction method such as etiology, defect location, size, depth, and complications. An algorithmic approach was then suggested based on an analysis of these factors. Results: Ninety-four patients were selected in total and 98 cases, including revision surgery, were performed for scalp reconstruction. Scalp reconstruction was performed by primary closure (36.73%), skin graft (27.55%), local flap (17.34%), pedicled regional flap (15.30%), and free flap (3.06%). The ratio of primary closure to more complex procedure on loose scalps (51.11%) was significantly higher than on tight scalps (24.52%) (p=0.011). The choice of scalp reconstruction method was affected significantly by the defect size (R=0.479, p<0.001) and depth (p<0.001). There were five major complications which were three cases of flap necrosis and two cases of skin necrosis. Hematoma was the most common of the 29 minor complications reported, followed by skin necrosis. Conclusion: There are multiple factors affecting the choice of scalp reconstruction method. We suggest an algorithm based on 10 years of experience that will help surgeons establish successful surgical management for their patients.

Systematic Review of Patient-Reported Outcomes and Complications of Pedicled Latissimus Flap Breast Reconstruction

  • Emanuela C. Peshel;Claire M. McNary;Catherine Barkach;Elizabeth M. Boudiab;Daniella Vega;Farid Nossoni;Kongkrit Chaiyasate;Jeremy M. Powers
    • Archives of Plastic Surgery
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    • v.50 no.4
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    • pp.361-369
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    • 2023
  • The latissimus dorsi (LD) flap is a reliable option for breast reconstruction. This is particularly true in patients with contraindications to abdominally based autologous breast reconstruction. A systematic review of patient satisfaction and health related quality of life following LD breast reconstruction using the BREAST-Q survey was conducted. The scope of the review was to determine the degree of patient satisfaction following the procedure and to examine how patient satisfaction from the pedicled LD flap compares to other breast reconstructive procedures. A literature search on BREAST-Q in LD flap reconstruction was performed. Only articles written in English and in published peer-reviewed journals were included. Studies with less than 20 patients in their sample and those with a follow-up period of less than 1 year were excluded. Five articles representing 331 patients were reviewed, including one case-control study and four retrospective cohort studies. Level of evidence was either III (4) or IV (1). The average age was 53 with average body mass index of 25. Most reconstructions were delayed (67%) and unilateral (88%), and most patients required radiation (79%). The average length of follow-up was 36 months, and the response rate was 75%. Overall, patients who underwent LD flap reconstruction reported favorable outcomes in satisfaction domains and quality of life domains with few complications. A meta-analysis also demonstrated higher satisfaction in LD flap without implants compared with LD flap with implants. Patient-reported outcomes following LD breast reconstruction compare favorably with other techniques of breast reconstruction.

Associated Factors and Prevention of Upper Pole Rippling in Prepectoral Direct-to-Implant Breast Reconstruction

  • Da Hye Ryu;Oh Young Joo;Yun Ho Roh;Eun Jung Yang;Seung Yong Song;Dong Won Lee
    • Archives of Plastic Surgery
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    • v.50 no.6
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    • pp.541-549
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    • 2023
  • Background Despite its many advantages, prepectoral breast reconstruction also carries the risk of implant rippling. The recent introduction of partial superior implant coverage using a pectoralis muscle slip in prepectoral direct-to-implant (DTI) breast reconstruction has shown the potential to minimize upper pole rippling. The purpose of this study was to identify factors associated with rippling and the effectiveness of our surgical technique. Methods In total, 156 patients (186 breasts) who underwent prepectoral DTI breast reconstruction between August 2019 and March 2021 were identified retrospectively. Patient data were analyzed from medical records. Univariable and multivariable logistic analyses were performed to contextualize the risks associated with rippling deformity relative to demographic characteristics and other clinical factors. Retrospective propensity-matched analysis was performed to identify the relationship between rippling deformity and the reconstruction method. Results Patients with body mass index (BMI; odds ratio [OR], 0.736; p < 0.001), those with a postoperative chemotherapy history (OR, 0.324; p = 0.027) and those who received breast reconstruction via the superior coverage technique (OR, 0.2; p = 0.004), were less likely to develop rippling deformity. The median follow-up period was 64.9 weeks, and there were no significant differences between patients in types of mastectomy, implant, or acellular dermal matrix. Patients who underwent superior coverage technique-based reconstruction showed significantly reduced rippling (OR, 0.083; p = 0.017) Conclusion Patients with higher BMI and prior postoperative chemotherapy were less likely to develop rippling deformity. The superior coverage technique can be effective in minimizing upper pole rippling.

Uncertainty of Measurements in the Analysis of Vehicle Accidents (차량 사고 분석에서 측정의 불확실성)

  • Han, In-Hwan;Park, Seung-Beom
    • Journal of Korean Society of Transportation
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    • v.28 no.3
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    • pp.119-130
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    • 2010
  • Reconstruction analysis of traffic accident is done by analyzing diverse data such as the road, accident traces and damage on the automobile. Most data can be a variable in the process of analysis, and measurement error of the data occurs from the investigator, tool and the given environment. Therefore, accident analysis always has some risks of measurement uncertainty. This research quantify the uncertainty in traffic accident analysis by conducting repetitive measurement experiments for variables with high probability of uncertainly such as length (i.e. geometric structure of the road, tire marks) and coefficient of friction. This paper also suggests an analysis result for the uncertainly of photographic observation of automobile crush measurement. These statistical distributions can help determine appropriate ranges for the input data in order to estimate the accident reconstruction uncertainty.