• 제목/요약/키워드: diagnostic support system

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A Study for Diagnostic Agreement between Web-based Diagnosis Support System and Korean Medical Doctors' Diagnosis (웹기반 진단 보조 시스템의 진단 일치도 연구)

  • Seungyob Yi;Minji Kang;Hyun Jung Lim;WM Yang
    • Journal of Convergence Korean Medicine
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    • v.6 no.1
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    • pp.37-42
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    • 2024
  • Objectives: This study aims to evaluate the clinical validity of the system by conducting a clinical study to assess the diagnostic agreement between the system and Korean medical doctors. Methods: This study was conducted from September 7, 2023, to December 7, 2023, across five Korean medicine institutions, involving 100 adult participants aged 20-64 who consented to participate. Participants first entered their symptoms into a web-based program, which utilized an AI-based algorithm to diagnose 36 types of pattern differentiation. Subsequently, Korean medical doctors conducted face-to-face diagnoses using the same 36 types. The diagnostic agreement between the system and the doctors' diagnoses was analyzed using descriptive statistical analysis, and the results were expressed as a percentage agreement. Results: Analysis of the diagnostic data from 100 participants revealed that the web-based diagnosis support system identified an average of 7.76±0.79 patterns per patient, while Korean medical doctors identified an average of 7.99±0.10 patterns per patient. The diagnostic agreement between the system and the doctors showed an average of 7.08±1.08 patterns per patient, with an overall diagnostic agreement rate of 88.57±13.31%. Conclusion: This study developed a web-based diagnosis support system for traditional Korean medicine and evaluated its clinical validity by assessing diagnostic agreement. Comparing the diagnoses of the system with those of Korean medical doctors for 100 patients, the system showed an approximately 89% agreement rate with the clinical diagnoses. The system holds potential for aiding Korean medical doctors in pattern differentiation diagnosis in clinical practice.

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Experiments and Assessment on Traditional Korean Medicine Diagnostic Support System (한의 진단 지원 시스템의 시험 수행 및 평가)

  • Cho, Woo-keun;Kim, Myung-ho;Lee, Sang-ah;Jang, Myung-woong;Choi, Dong-jun
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.13 no.1
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    • pp.63-70
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    • 2012
  • Object : Traditional Korean Medicine Diagnostic Support System(TKMDSS) is the diagnostic prescribing system based on ontology developed by Korea Institute of Oriental Medicine. We monitored and assessed its usefulness and searched for improvements. Methods : We collected 10 cases of stroke inpatients of Dongguk University Ilsan Oriental Hospital. They were diagnosed by primary care physician and another researcher who monitored using "TKMDSS" respectively. We compared the process and results of two diagnosis. Results : The diagnostic concordance rate between primary care physician and researcher were pretty high. Most of the problems were caused by expressions on symptoms inappropriate use of terminology. The severity of symptoms and vague symptoms which is hard to be diagnosed should be reflected and measured in this system. Conclusions : The problems were about terminology and definition. The terminology should be defined accurately and in-depth detail so that anyone can get the right information. If the problems were modified, "TKMMSS" could be utilized as supportive measures for oriental medicine doctors and students.

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DEVELOPMENT OF A MAJORITY VOTE DECISION MODULE FOR A SELF-DIAGNOSTIC MONITORING SYSTEM FOR AN AIR-OPERATED VALVE SYSTEM

  • KIM, WOOSHIK;CHAI, JANGBOM;KIM, INTAEK
    • Nuclear Engineering and Technology
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    • v.47 no.5
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    • pp.624-632
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    • 2015
  • A self-diagnostic monitoring system is a system that has the ability to measure various physical quantities such as temperature, pressure, or acceleration from sensors scattered over a mechanical system such as a power plant, in order to monitor its various states, and to make a decision about its health status. We have developed a self-diagnostic monitoring system for an air-operated valve system to be used in a nuclear power plant. In this study, we have tried to improve the self-diagnostic monitoring system to increase its reliability. We have implemented three different machine learning algorithms, i.e., logistic regression, an artificial neural network, and a support vector machine. After each algorithm performs the decision process independently, the decision-making module collects these individual decisions and makes a final decision using a majority vote scheme. With this, we performed some simulations and presented some of its results. The contribution of this study is that, by employing more robust and stable algorithms, each of the algorithms performs the recognition task more accurately. Moreover, by integrating these results and employing the majority vote scheme, we can make a definite decision, which makes the self-diagnostic monitoring system more reliable.

The Application of Preventative and Diagnostic System for 765kV Substation (변전기기 예방진단 시스템의 적용 - 765kV 변전소 예방진단 시스템)

  • Hweon, D.J.;Choi, I.H.;Yoo, Y.P.;Jung, S.H.;Choi, Y.J.;Choi, D.H.;Kim, K.K.
    • Proceedings of the KIEE Conference
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    • 2000.07c
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    • pp.1885-1887
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    • 2000
  • In this paper we introduce preventative and diagnostic systems developed to prevent substations from accidental fault of electric power transmitting apparatus. We propose monitoring and diagnostic system for ultra high voltage GIS and main transformer of 765kV substations as an example of preventative and diagnostic techniques being applied in Korea. We also present a guideline to construct and manage an expert system for this purpose. Finally, an engineering solution as a substation management support system is proposed.

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Support Vector Machine Based Diagnostic System for Thyroid Cancer using Statistical Texture Features

  • Gopinath, B.;Shanthi, N.
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.1
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    • pp.97-102
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    • 2013
  • Objective: The aim of this study was to develop an automated computer-aided diagnostic system for diagnosis of thyroid cancer pattern in fine needle aspiration cytology (FNAC) microscopic images with high degree of sensitivity and specificity using statistical texture features and a Support Vector Machine classifier (SVM). Materials and Methods: A training set of 40 benign and 40 malignant FNAC images and a testing set of 10 benign and 20 malignant FNAC images were used to perform the diagnosis of thyroid cancer. Initially, segmentation of region of interest (ROI) was performed by region-based morphology segmentation. The developed diagnostic system utilized statistical texture features derived from the segmented images using a Gabor filter bank at various wavelengths and angles. Finally, the SVM was used as a machine learning algorithm to identify benign and malignant states of thyroid nodules. Results: The SVMachieved a diagnostic accuracy of 96.7% with sensitivity and specificity of 95% and 100%, respectively, at a wavelength of 4 and an angle of 45. Conclusion: The results show that the diagnosis of thyroid cancer in FNAC images can be effectively performed using statistical texture information derived with Gabor filters in association with an SVM.

Oriental Medical Ontology for Personalized Diagnostic Services (맞춤형 진단 서비스를 위한 한의학 온톨로지)

  • Moon, Kyung-Sil;Park, Su-Hyun
    • Journal of the Korea Society of Computer and Information
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    • v.15 no.1
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    • pp.23-30
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    • 2010
  • With the advancement of information technology and increasing diversity in medical field, there are ongoing researches on ontology based intelligent medical system in Oriental medicine field. Intelligent diagnostic support system uses ontology to give a structure to complex medical knowledge and personal medical history so that we can make diagnosis more scientific, and provide better medical services. In this paper, we suggest an ontology that structuralize three knowledge types basic medical data, clinical trial data, and personal health information, which can be used as important information for individually tailored diagnosis. Especially in Oriental medicine diagnosis, both patient's symptoms of illness and physical constitution play a great role; it can lead to distinct diagnosis depending on their combination. Thus, it is much needed to have a diagnostic support system that uses personal health history and physical constitution along with basic medical data and clinical trial data in the field. In this paper, we implemented an Oriental medicine diagnostic support system that provides individualized diagnosis service to each patient by building an ontology on Oriental medicine focused on individual physical constitution and disease information.

INTEGRATED DIAGNOSTIC TECHNIQUE FOR NUCLEAR POWER PLANTS

  • Gofuku, Akio
    • Nuclear Engineering and Technology
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    • v.46 no.6
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    • pp.725-736
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    • 2014
  • It is very important to detect and identify small anomalies and component failures for the safe operation of complex and large-scale artifacts such as nuclear power plants. Each diagnostic technique has its own advantages and limitations. These facts inspire us not only to enhance the capability of diagnostic techniques but also to integrate the results of diagnostic subsystems in order to obtain more accurate diagnostic results. The article describes the outline of four diagnostic techniques developed for the condition monitoring of the fast breeder reactor "Monju". The techniques are (1) estimation technique of important state variables based on a physical model of the component, (2) a state identification technique by non-linear discrimination function applying SVM (Support Vector Machine), (3) a diagnostic technique applying WT (Wavelet Transformation) to detect changes in the characteristics of measurement signals, and (4) a state identification technique effectively using past cases. In addition, a hybrid diagnostic system in which a final diagnostic result is given by integrating the results from subsystems is introduced, where two sets of values called confidence values and trust values are used. A technique to determine the trust value is investigated under the condition that the confidence value is determined by each subsystem.

Concept of an intelligent operator support system for initial emergency responses in nuclear power plants

  • Kang, Jung Sung;Lee, Seung Jun
    • Nuclear Engineering and Technology
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    • v.54 no.7
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    • pp.2453-2466
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    • 2022
  • Nuclear power plant operators in the main control room are exposed to stressful conditions in emergency situations as immediate and appropriate mitigations are required. While emergency operating procedures (EOPs) provide operators with the appropriate tasks and diagnostic guidelines, EOPs have static properties that make it difficult to reflect the dynamic changes of the plant. Due to this static nature, operator workloads increase because unrelated information must be screened out and numerous displays must be checked to obtain the plant status. Generally, excessive workloads should be reduced because they can lead to human errors that may adversely affect nuclear power plant safety. This paper presents a framework for an operator support system that can substitute the initial responses of the EOPs, or in other words the immediate actions and diagnostic procedures, in the early stages of an emergency. The system assists operators in emergency operations as follows: performing the monitoring tasks in parallel, identifying current risk and latent risk causality, diagnosing the accident, and displaying all information intuitively with a master logic diagram. The risk causalities are analyzed with a functional modeling methodology called multilevel flow modeling. This system is expected to reduce workloads and the time for performing initial emergency response procedures.

The Research for the Activation of Treatment Related Service According to the 'Special Education Law': Focusing on Physical.Occupational Therapy ('장애인 등에 대한 특수교육법' 시행에 따른 치료지원서비스 활성화 방안 : 물리.작업치료를 중심으로)

  • Lee, Byoung-Hee;Jung, Jin-Hwa
    • Journal of Korean Physical Therapy Science
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    • v.16 no.2
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    • pp.45-55
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    • 2009
  • Background: This thesis aims at suggesting the direction for the introduction of public free treatment support system according to the establishment of [Special Education Law] and the right settlement of therapeutic support service. Method: It introduced the characteristics and the contents of school based PT & OT, diagnosis and evaluation, and operation method. It set up question items and presented intervention plan, and substantial intervention, beginning from the request of whole process. The diagnostic evaluation was described from 4 aspects, which are consideration matters in the time of document drawing and diagnostic evaluation, chiefly centering around SOAP. The flow of overall treatment support service, the allocation of 16 handicapped children for 1 therapist, and the weekly treatment frequency according to the treatment support location and environment were suggested in the concrete operation method. Result: The concrete method should be explored in order to provide handicapped students with requisite services, which are offered by various experts in the amended 'Special Education Law'. In addition, work condition and social welfare, which are equal to school teachers, should be provided for all experts. Conclusion: Along with these things, special education support center should establish the road-map for the education rehabilitation of the handicapped children from the evaluation of early diagnosis of the handicapped children to treatment support and lifelong education.

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Consistency check algorithm for validation and re-diagnosis to improve the accuracy of abnormality diagnosis in nuclear power plants

  • Kim, Geunhee;Kim, Jae Min;Shin, Ji Hyeon;Lee, Seung Jun
    • Nuclear Engineering and Technology
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    • v.54 no.10
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    • pp.3620-3630
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    • 2022
  • The diagnosis of abnormalities in a nuclear power plant is essential to maintain power plant safety. When an abnormal event occurs, the operator diagnoses the event and selects the appropriate abnormal operating procedures and sub-procedures to implement the necessary measures. To support this, abnormality diagnosis systems using data-driven methods such as artificial neural networks and convolutional neural networks have been developed. However, data-driven models cannot always guarantee an accurate diagnosis because they cannot simulate all possible abnormal events. Therefore, abnormality diagnosis systems should be able to detect their own potential misdiagnosis. This paper proposes a rulebased diagnostic validation algorithm using a previously developed two-stage diagnosis model in abnormal situations. We analyzed the diagnostic results of the sub-procedure stage when the first diagnostic results were inaccurate and derived a rule to filter the inconsistent sub-procedure diagnostic results, which may be inaccurate diagnoses. In a case study, two abnormality diagnosis models were built using gated recurrent units and long short-term memory cells, and consistency checks on the diagnostic results from both models were performed to detect any inconsistencies. Based on this, a re-diagnosis was performed to select the label of the second-best value in the first diagnosis, after which the diagnosis accuracy increased. That is, the model proposed in this study made it possible to detect diagnostic failures by the developed consistency check of the sub-procedure diagnostic results. The consistency check process has the advantage that the operator can review the results and increase the diagnosis success rate by performing additional re-diagnoses. The developed model is expected to have increased applicability as an operator support system in terms of selecting the appropriate AOPs and sub-procedures with re-diagnosis, thereby further increasing abnormal event diagnostic accuracy.