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CT Fractional Flow Reserve for the Diagnosis of Myocardial Bridging-Related Ischemia: A Study Using Dynamic CT Myocardial Perfusion Imaging as a Reference Standard

  • Yarong Yu;Lihua Yu;Xu Dai;Jiayin Zhang
    • Korean Journal of Radiology
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    • v.22 no.12
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    • pp.1964-1973
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    • 2021
  • Objective: To investigate the diagnostic performance of CT fractional flow reserve (CT-FFR) for myocardial bridging-related ischemia using dynamic CT myocardial perfusion imaging (CT-MPI) as a reference standard. Materials and Methods: Dynamic CT-MPI and coronary CT angiography (CCTA) data obtained from 498 symptomatic patients were retrospectively reviewed. Seventy-five patients (mean age ± standard deviation, 62.7 ± 13.2 years; 48 males) who showed myocardial bridging in the left anterior descending artery without concomitant obstructive stenosis on the imaging were included. The change in CT-FFR across myocardial bridging (ΔCT-FFR, defined as the difference in CT-FFR values between the proximal and distal ends of the myocardial bridging) in different cardiac phases, as well as other anatomical parameters, were measured to evaluate their performance for diagnosing myocardial bridging-related myocardial ischemia using dynamic CT-MPI as the reference standard (myocardial blood flow < 100 mL/100 mL/min or myocardial blood flow ratio ≤ 0.8). Results: ΔCT-FFRsystolic (ΔCT-FFR calculated in the best systolic phase) was higher in patients with vs. without myocardial bridging-related myocardial ischemia (median [interquartile range], 0.12 [0.08-0.17] vs. 0.04 [0.01-0.07], p < 0.001), while CT-FFRsystolic (CT-FFR distal to the myocardial bridging calculated in the best systolic phase) was lower (0.85 [0.81-0.89] vs. 0.91 [0.88-0.96], p = 0.043). In contrast, ΔCT-FFRdiastolic (ΔCT-FFR calculated in the best diastolic phase) and CT-FFRdiastolic (CT-FFR distal to the myocardial bridging calculated in the best diastolic phase) did not differ significantly. Receiver operating characteristic curve analysis showed that ΔCT-FFRsystolic had largest area under the curve (0.822; 95% confidence interval, 0.717-0.901) for identifying myocardial bridging-related ischemia. ΔCT-FFRsystolic had the highest sensitivity (91.7%) and negative predictive value (NPV) (97.8%). ΔCT-FFRdiastolic had the highest specificity (85.7%) for diagnosing myocardial bridging-related ischemia. The positive predictive values of all CT-related parameters were low. Conclusion: ΔCT-FFRsystolic reliably excluded myocardial bridging-related ischemia with high sensitivity and NPV. Myocardial bridging showing positive CT-FFR results requires further evaluation.

A Study on the Comparison of One Step Method and Two Step Method to Improve Reporting of CA 19-9 Results (CA 19-9 결과보고 개선을 위한 One step 방식과 Two step 방식의 비교에 관한 연구)

  • Jae-Seok An;Ji-Na Kim;Kwang-Seo Park;Eun-Bit Joo;Sang-Hyuk Yoon;Yoon-Cheol Kim
    • The Korean Journal of Nuclear Medicine Technology
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    • v.28 no.1
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    • pp.81-87
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    • 2024
  • Purpose: CA 19-9 is the most widely used tumor marker for the diagnosis of digestive system tumor, especially pancreatic and biliary tract cancer. This study was conducted to improve the result value near reference range by comparing the reagents of CA 19-9 one step method and two step method. In addition, it was intended to establish a standard for selecting reagents. Material and Methods: 120 patients who visited the National Cancer Center in 2023 were selected as subjects for this study. The reagents used in the study were CA 19-9 IRMA kits (Shinjin, Korea) and three types of reagents were compared. Two step method reagent that is currently being used (A), one step method reagent (B) and two step method reagent improved by request (C) were compared and regression analysis was performed on their data. And we also performed recovery test, linearity test and hook effect test for each reagent. Result: There were 46 cases of reagent B in which the concentration value was lower than the result measured in reagent A that was previously used, and 77 cases of reagent C. As a result of regression analysis of reagents A, B, and C, the coefficients of determination of reagents A and B, reagents A and C, and reagents B and C were 0.653, 0.577, and 0.875. In the recovery rate test and the linearity test, the results of all reagents were good, and in the hook effect test, reagent B showed a hook effect at a low value. Conclusion: The improved reagent C appears to have been improved based on the concentration value of reagent B, which the manufacturer judged to be more stable at low concentrations. The hook effect in reagent B can be a fatal reason for disqualification when selecting reagents in general patient samples which high-concentration samples appear frequently. The first improved reagent C will be able to be used once it is confirmed that it has more stability for various concentration values.

Automated Lung Segmentation on Chest Computed Tomography Images with Extensive Lung Parenchymal Abnormalities Using a Deep Neural Network

  • Seung-Jin Yoo;Soon Ho Yoon;Jong Hyuk Lee;Ki Hwan Kim;Hyoung In Choi;Sang Joon Park;Jin Mo Goo
    • Korean Journal of Radiology
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    • v.22 no.3
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    • pp.476-488
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    • 2021
  • Objective: We aimed to develop a deep neural network for segmenting lung parenchyma with extensive pathological conditions on non-contrast chest computed tomography (CT) images. Materials and Methods: Thin-section non-contrast chest CT images from 203 patients (115 males, 88 females; age range, 31-89 years) between January 2017 and May 2017 were included in the study, of which 150 cases had extensive lung parenchymal disease involving more than 40% of the parenchymal area. Parenchymal diseases included interstitial lung disease (ILD), emphysema, nontuberculous mycobacterial lung disease, tuberculous destroyed lung, pneumonia, lung cancer, and other diseases. Five experienced radiologists manually drew the margin of the lungs, slice by slice, on CT images. The dataset used to develop the network consisted of 157 cases for training, 20 cases for development, and 26 cases for internal validation. Two-dimensional (2D) U-Net and three-dimensional (3D) U-Net models were used for the task. The network was trained to segment the lung parenchyma as a whole and segment the right and left lung separately. The University Hospitals of Geneva ILD dataset, which contained high-resolution CT images of ILD, was used for external validation. Results: The Dice similarity coefficients for internal validation were 99.6 ± 0.3% (2D U-Net whole lung model), 99.5 ± 0.3% (2D U-Net separate lung model), 99.4 ± 0.5% (3D U-Net whole lung model), and 99.4 ± 0.5% (3D U-Net separate lung model). The Dice similarity coefficients for the external validation dataset were 98.4 ± 1.0% (2D U-Net whole lung model) and 98.4 ± 1.0% (2D U-Net separate lung model). In 31 cases, where the extent of ILD was larger than 75% of the lung parenchymal area, the Dice similarity coefficients were 97.9 ± 1.3% (2D U-Net whole lung model) and 98.0 ± 1.2% (2D U-Net separate lung model). Conclusion: The deep neural network achieved excellent performance in automatically delineating the boundaries of lung parenchyma with extensive pathological conditions on non-contrast chest CT images.

Optimizing analytical method in Health Functional Food code with adjustable chromatographic parameters: A case study of vitamin C (건강기능식품공전 시험법의 크로마토그래프법 조건의 조정 및 비타민C에 대한 적용성 평가 연구)

  • Junghoon Shin;Yooseong Jeong;Yong Seok Choi;Sang Beom Han;Dong-Kyu Lee
    • Analytical Science and Technology
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    • v.37 no.3
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    • pp.143-154
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    • 2024
  • In this study, we improved the vitamin C test method and reviewed data on the adjustable range of chromatography conditions for quantification. First, we adjusted the mobile phase conditions such as solvent composition, salt concentration, pH and column temperature and in particular, it was confirmed through an improved test method that the peak derived from the buffer solution could be clearly separated from the target component, vitamin C by adjusting the pH. The retention time of vitamin C was partially changed by adjusting the column diameter, length and particle size but the number of theoretical plates indicated similar values and did not affect the separation and quantitative analysis of the target component. The flow rate according to the column specifications was derived from the equation proposed by the U.S. FDA (Food and Drug administration) and the Korean MFDS (Ministry of Food and Drug Safety), and evaluation of the applicability to vitamin complexes showed high selectivity for vitamin C even with altered stationary phase conditions and flow rates. In conclusion, vitamin C can be optimally separated and detected by changing the chromatographic method conditions and it was confirmed that the mobile and stationary phase conditions of liquid chromatography can be slightly adjusted in case the assay method uses an isocratic elution.

Structure of the Temperature and Salinity in 2003-2005 Profiled by the ARGO floats around the Ulleung-do area in the East Sea (ARGO 뜰개에 의한 2003-2005년 울릉도 주변 해역의 수온-염분 구조)

  • Kim, Eung;Ro, Young-Jae;Youn, Yong-Hun
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.11 no.1
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    • pp.21-30
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    • 2006
  • This study investigated the temperature-salinity spatio-temporal variability around the Ulleung-do Island (UI) by using CTD profiles obtained by the ARGO floats far the period of Oct.,2003 to Aug.,2005. The waterbody in the upper 700 m around the UI could be classified into five water masses, which is consistent to traditional water characteristics in the East Sea. In the upper surface layer, the temperature and salinity in fall season became even lower than those properties in the summer time. The East Sea Intermediate Water (ESIW) characterized by the salinity minimum layer shows the range of potential temperature between 1 to $5^{\circ}C$ and salinity lower than 34.06 psu. The ESIW lies approximately at 265 m depth with average thickness of 175 m. This thickness of the ESIW continues to be relatively uniform regardless of spatio-temporal space. However, the depth of the ESIW shows vertical variation influenced by the Ulleung warm eddy (UWE). Since the UWE lies in the upper layer, the Upper Portion of the Japan Sea Proper. Water (UPJSPW) is also affected to show the vertical variation. The influence extorted by the UWE reached down to 700 m depth in terms of temperature. The CTD profiles obtained with the high sampling rate by ARCO floats over two-year period provided with very useful and detailed informations in investigating the spatio-temporal variability In the study area.

Spatial Distribution of Macrozoobenthos During Spring Season in the Estuarine Sandy Tidal Flat of Masan Bay, Korea (하구역 모래갯벌인 봉암갯벌(경남 마산)에 서식하는 대형저서동물의 봄철 공간분포)

  • Seo, Jin-Young;An, Soon-Mo;Choi, Jin-Woo
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.12 no.3
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    • pp.211-218
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    • 2007
  • In this study, we investigated the spatial distribution of macrozoobenthos in the estuarine sandy flat, the Bongam tidal flat located in Masan Bay during March, 2004. A total 13 species were identified at 12 stations within the tidal flat. The mean density was $20,267\;ind./m^2$, and mean biomass was $228.1g/m^2$. Dominant species in the Bongam tidal flat were all polychaetes: Prionospio japonicus ($11,716\;ind./m^2$, 57.8%) and Polydora ligni ($3,929\;ind./m^2$, 19.4%) of spionoid polychaete, and Neanthes succinea ($3,425\;ind./m^2$, 16.9%) of nereid polychaete. The most dominant species, P. japonicus distributed evenly all stations in the tidal flat. But N. succinea showed high density at the upper area of the tidal flat. Species diversity index (H') was in the range of 0.6 to 1.2 which is relatively low due to the prominent of P. japonicus and few species richness at each station. The study area was divided into two station groups (group A and B) based on the cluster analysis and MDS ordination, and the spatial distribution of macrozoobenthos on the Bongam tidal flat seemed to be in the influence of exposure duration from tidal levels and specific geological topography.

Prodigiosin Production From Serratia sp. PDGS120915 Isolated From Daeyeon Stream Water in Busan (하천에서 분리한 Serratia sp. PDGS120915의 프로디지오신 생산)

  • Keunho Ji;Young Tae Kim
    • Journal of Life Science
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    • v.34 no.6
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    • pp.377-384
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    • 2024
  • Prodigiosin is a red pigment characterized by a common pyrrolylpyrromethane skeleton. It is produced by Serratia marcescens, Vibrio psychroerythrus, Hahella chejuensis, etc. Prodigiosin has been reported to possess anticancer, immunosuppressant, antifungal antimalarial, and algicidal activities. However, despite prodigiosin's diverse range of activities, its production rate is significantly low and biosynthesis conditions are difficult. Consequently, the selling price is high, and its usability is limited. This study aimed to increase the efficiency of prodigiosin production according to the culture conditions of Serratia. In this study, a bacterial strain PDGS120915 producing prodigiosin was isolated from lightly contaminated stream water in Busan and identified as a strain of Serratia sp. based on 16S rDNA gene sequence analysis and physiological characteristics. The reddish pigment from PDGS120915 was directly extracted using acidified ethanol, and a characterization analysis confirmed that it was a prodigiosin compound. The optimal conditions for pigment production were 25℃, pH 7, and 0% NaCl concentration for a duration of 14 hr. Furthermore, by treating carbon and nitrogen sources, such as fructose and beef extract, respectively, prodigiosin production increased approximately six-fold and four-fold. Among the minerals tested, 0.1% KCl was found to be the most effective for prodigiosin production. Moreover, casein was identified as the most suitable source for prodigiosin production.

The Mirror-based real-time dynamic projection mapping design and dynamic object detection system research (미러 방식의 실시간 동적 프로젝션 매핑 설계 및 동적 사물 검출 시스템 연구)

  • Soe-Young Ahn;Bum-Suk Seo;Sung Dae Hong
    • Journal of Internet of Things and Convergence
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    • v.10 no.2
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    • pp.85-91
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    • 2024
  • In this paper, we studied projection mapping, which is being utilized as a digital canvas beyond space and time for theme parks, mega events, and exhibition performances. Since the existing projection technology used for fixed objects has the limitation that it is difficult to map moving objects in terms of utilization, it is urgent to develop a technology that can track and map moving objects and a real-time dynamic projection mapping system based on dynamically moving objects so that it can respond to various markets such as performances, exhibitions, and theme parks. In this paper, we propose a system that can track real-time objects in real time and eliminate the delay phenomenon by developing hardware and performing high-speed image processing. Specifically, we develop a real-time object image analysis and projection focusing control unit, an integrated operating system for a real-time object tracking system, and an image processing library for projection mapping. This research is expected to have a wide range of applications in the technology-intensive industry that utilizes real-time vision machine-based detection technology, as well as in the industry where cutting-edge science and technology are converged and produced.

A Survey of Librarians' Awareness and Demand for Librarian Learning Communities (사서학습공동체에 관한 사서의 인식 및 수요조사)

  • Youngmi Jung;Younghee Noh
    • Journal of the Korean Society for Library and Information Science
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    • v.58 no.1
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    • pp.99-122
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    • 2024
  • This study investigated librarians' awareness of and demand for the librarian learning community in order to successfully introduce and operate the librarian learning community. For this purpose, an online survey was conducted targeting current librarians and a total of 474 responses were collected. The main analysis results are as follows. Firstly, librarians showed a very low awareness of the librarian learning community, while they highly evaluated the purpose and significance of such a community. Secondly, the motivations for librarians to participate in the librarian learning community were primarily focused on professional growth, solidarity with colleagues, and satisfaction of intellectual curiosity, in that order. Thirdly, the ultimate values of the librarian learning community were identified as improving library services, enhancing professionalism, fostering collaborative group exploration, sharing values and visions. Fourthly, the success factors of the librarian-learning community were ranked as follows: member voluntarism, a culture of collaboration among members, dedicated time (once a week), and a supportive environment (budget, space, etc.). On the other hand, the failure factors were identified as a lack of time due to heavy workloads, lack of member voluntarism, indifference from superiors, and insufficient support environment (budget, space, etc.). Finally, the willingness to participate is also very high. Furthermore, it was observed that there is a wide range of interests in various topics among librarians. The results of this study are expected to be useful as basic data for determining practical operation methods or selecting topics when operating a librarian learning community in the future.

Sound Velocity Property of Sediment Containing Gas Hydrate in the Ulleung Basin, East Sea (동해 울릉분지 가스하이드레이트 함유 퇴적물의 음파전달속도 특성)

  • Kim, Gil-Young;Yoo, Dong-Geun;Ryu, Byong-Jae
    • The Journal of the Acoustical Society of Korea
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    • v.28 no.5
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    • pp.424-431
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    • 2009
  • This study investigates the difference of sound velocity (compressional wave velocity) between gas hydrate-bearing sediments and nongas hydrate-bearing sediments in the Ulleung Basin, East Sea. We use a dataset measured from one site in the central part of the Ulleung Basin. Sound velocity for gas hydrate-bearing sediment shows the range from 1600 m/s to 2200 m/s. However, the value for nongas hydrate-bearing sediment is mostly around 1500 m/s, being less than 1400 m/s below 140 m subbottom depth. This trend is probably due to the presence of free gas below BSR (Bottom Simulating Reflector). Gas hydrate-bearing sediments show high value (maximum 150 Ohm-m) of resistivity. The physical properties between gas hydrate-bearing sediment and nongas hydrate-bearing sediment are characterized by the different patterns due to the presence of gas hydrate in comparison with those of marine unconsolidated sediments. Therefore, in order to investigate acoustic and physical properties for gas hydrate-bearing sediments, the study for the occurrence type and the amount of gas hydrates should be conducted simultaneously.