• Title/Summary/Keyword: intelligent medicine

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Methods of DICOM and Non-DICOM Interfacing for various Radiological Equipments with PACS (방사선 검사 관련 의료장비와 PACS 간의 연동을 위한 DICOM 및 Non-DICOM 인터페이스 방안)

  • Kim, Hyeon-Cheol
    • Korean Journal of Digital Imaging in Medicine
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    • v.5 no.1
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    • pp.46-63
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    • 2002
  • This thesis describes the effective interfacing methods of PACS Modality based on the system installation and operating experiences. PACS(Picture Archiving and Communication Systems) is a system for medical image archiving and communication using large storage device and high-speed network. The standard communication protocol of PACS is DICOM(Digital Imaging and Communication in Medicine) based on TCP/IP and point-to-point protocol. However, there are many Non-DICOM Modalities and DICOM Modalities having problems. First, we had interfaced almost modalities, Fuji CR, GE CT, MRI, Angio, Fluoro, Phillips Angio, Shimadzu Fluoro, Ultrasound PACS, with the main PACS in the Seoul S Hospital as large scale hospital. And we manipulated the intelligent image distribution and the CT, MRI Interfaces never experienced before in the Anyang J Hospital and the Chungju C Hospital as mid or small scale hospital. Technically, we developed both the DICOM Interface and the Non-DICOM Interface. At the last, the DICOM Worklist and the DICOM Print Interface were implemented in the Seoul B Hospital, the Bucheon SJ Hospital and the Seoul K Hospital independently with PACS. The Oracle, Sybase and MS-SQL are used as database, and UNIX, Macintosh, MS Windows as operating systems. And the Visual C++ and UNIX C are the main programming tools. We have used UTP, coaxial and fiber optic Gable under 10/100 mbps LAN for networking.

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The Prenatal Management in the Oriental Medicine (한방측면에서 본 임신부의 영양관리)

  • Lee, Kyung-Sub
    • Journal of the East Asian Society of Dietary Life
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    • v.7 no.2
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    • pp.247-255
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    • 1997
  • The changes of mental activities and the normal life during the pregnancy have a direct and indirect influences not only on the maternal health but also on the physiological function of the fetus. In the oriental medicine, many attentions have been ordered during the pregnancy. And they called these attentions and managements during the pregnancy as 'Tia-jiao(胎敎)'. The Tia-jiao, that is the prenatal culture, means 'educations for the fetus', so it is a hygienic conception for the pregnacy and the delivery. About this, many oriental gynecologic texts contained various contents such as the prohibitions against food(Shi-ji 食忌), the attentions on the mental activities(Yang-xing-ging 養性情), the notions on the normal life(Qi-ju-ji 起居忌), the cautions against drugs(Yao-ji 藥忌), the instructions for the treatments, the preventions against abortion(Gu-tia-liang-fa 固胎良法). The Tai-jiao can be divided two categories. The one is the behaviors and mental attitudes which can induce the good characters, and the other is the intake of foods and drugs which can grow the healthy body. According to the transitions of the generation, the economies, the societies, and the cultures have been changed. Through the pursuits of the intelligent babies have been remained, all conceptions and recognitions have also been altered. Therefore the ways to the prenatal culture must be changed, The reviewing the old and learning now, and doing the appropriate Tia-jiao in the modern times may be the best way to get the good babies.

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Convolutional Neural Network-Based Automatic Segmentation of Substantia Nigra on Nigrosome and Neuromelanin Sensitive MR Images

  • Kang, Junghwa;Kim, Hyeonha;Kim, Eunjin;Kim, Eunbi;Lee, Hyebin;Shin, Na-young;Nam, Yoonho
    • Investigative Magnetic Resonance Imaging
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    • v.25 no.3
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    • pp.156-163
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    • 2021
  • Recently, neuromelanin and nigrosome imaging techniques have been developed to evaluate the substantia nigra in Parkinson's disease. Previous studies have shown potential benefits of quantitative analysis of neuromelanin and nigrosome images in the substantia nigra, although visual assessments have been performed to evaluate structures in most studies. In this study, we investigate the potential of using deep learning based automatic region segmentation techniques for quantitative analysis of the substantia nigra. The deep convolutional neural network was trained to automatically segment substantia nigra regions on 3D nigrosome and neuromelanin sensitive MR images obtained from 30 subjects. With a 5-fold cross-validation, the mean calculated dice similarity coefficient between manual and deep learning was 0.70 ± 0.11. Although calculated dice similarity coefficients were relatively low due to empirically drawn margins, selected slices were overlapped for more than two slices of all subjects. Our results demonstrate that deep convolutional neural network-based method could provide reliable localization of substantia nigra regions on neuromelanin and nigrosome sensitive MR images.

Web-based microarray analysis using the virtual chip viewer and bioconductor. (MicroArray의 직관적 시각적 분석을 위한 웹 기반 분석 도구)

  • Lee, Seung-Won;Park, Jun-Hyung;Kim, Hyun-Jin;Kang, Byeong-Chul;Park, Hee-Kyung;Kim, In-Ju;Kim, Cheol-Min
    • Proceedings of the Korea Inteligent Information System Society Conference
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    • 2005.05a
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    • pp.198-201
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    • 2005
  • DNA microarray 칩은 신약 개발, 유전적 질환 진단, Bio-molecular 상호작용 연구, 유전자의 기능연구 등 폭넓게 사용되고 있다. 이 논문은 cDNA mimcroarray 데이터를 분석하기 위한 웹형태의 시스템 개발에 대한 내용을 다룬다. 하나의 cDNA microarray에는 수 백에서 수 만개의 유전자가 심어져 있으며, 데이터를 분석할 때 대량의 데이터와 다양한 형태의 오류로 인해서 데이터간의 차이를 보정하는 분석 도구와 통계적 기법들이 사용되어야 한다. 본 논문에서는 가상 칩 뷰어를 이용하여 실제 microarray 데이터의 foreground intensity에서 백그라운드의 intensity를 제거하여 일반화된 칩 이미지를 생성한다. 이 가상 칩 뷰어는 여러 가지 필터효과와 서로 다른 두 형광의 차이를 조정하는 global normalization 기법을 사용하여 발현 유전자 분석을 시각적으로 할 수 있고, 중복된 마이크로어레이 칩 데이터를 통하여 시간이 많이 걸리는 분석전 칩의 유효성을 검토할 수 있다. 칩 데이터의 normalization을 위한 통계 방법으로 R 통계 도구와 linear 모델을 사용하여 microarray 칩의 유전자 발현 양상을 분석한다. 통계적 방법을 사용하지 않은 데이터를 추출, 이 데이터의 패턴 그래프 그리고 발현 레벨을 분류하여 마이크로어레이의 각 스팟의 유효성 검토의 정확성을 높였다. 이 시스템은 칩의 유효성 검토, 스팟의 유효성 검토, 유전자 선정에 대해 분석의 용이성과 정확성을 높일 수 있었다.

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Development of Intelligent Severity of Atopic Dermatitis Diagnosis Model using Convolutional Neural Network (합성곱 신경망(Convolutional Neural Network)을 활용한 지능형 아토피피부염 중증도 진단 모델 개발)

  • Yoon, Jae-Woong;Chun, Jae-Heon;Bang, Chul-Hwan;Park, Young-Min;Kim, Young-Joo;Oh, Sung-Min;Jung, Joon-Ho;Lee, Suk-Jun;Lee, Ji-Hyun
    • Management & Information Systems Review
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    • v.36 no.4
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    • pp.33-51
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    • 2017
  • With the advent of 'The Forth Industrial Revolution' and the growing demand for quality of life due to economic growth, needs for the quality of medical services are increasing. Artificial intelligence has been introduced in the medical field, but it is rarely used in chronic skin diseases that directly affect the quality of life. Also, atopic dermatitis, a representative disease among chronic skin diseases, has a disadvantage in that it is difficult to make an objective diagnosis of the severity of lesions. The aim of this study is to establish an intelligent severity recognition model of atopic dermatitis for improving the quality of patient's life. For this, the following steps were performed. First, image data of patients with atopic dermatitis were collected from the Catholic University of Korea Seoul Saint Mary's Hospital. Refinement and labeling were performed on the collected image data to obtain training and verification data that suitable for the objective intelligent atopic dermatitis severity recognition model. Second, learning and verification of various CNN algorithms are performed to select an image recognition algorithm that suitable for the objective intelligent atopic dermatitis severity recognition model. Experimental results showed that 'ResNet V1 101' and 'ResNet V2 50' were measured the highest performance with Erythema and Excoriation over 90% accuracy, and 'VGG-NET' was measured 89% accuracy lower than the two lesions due to lack of training data. The proposed methodology demonstrates that the image recognition algorithm has high performance not only in the field of object recognition but also in the medical field requiring expert knowledge. In addition, this study is expected to be highly applicable in the field of atopic dermatitis due to it uses image data of actual atopic dermatitis patients.

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Comparison of Adults with Attention-Deficit Hyperactivity Disorder Depending on the Age of Being Diagnosed in Childhood and Adulthood: Based on Retrospective Review in One University Hospital

  • Cho, Seong Woo;Lee, Yeon Jung;Lee, Seong Ae;Hong, Minha;Lee, Sang Min;Park, Jin Cheol;Bahn, Geon Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.28 no.3
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    • pp.183-189
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    • 2017
  • Objectives: The study aimed to identify the characteristics of attention-deficit hyperactivity disorder (ADHD) that was not diagnosed in childhood or adolescence, but only in adulthood. Methods: The characteristics of patients diagnosed with ADHD in adulthood were compared with those of patients diagnosed in childhood were assessed via a retrospective review of the medical records at one university hospital from 2005 to 2013. If the age at which they were confirmed as having ADHD was less than 19 years old, they were grouped as childhood-diagnosed group (CD); if they were 19 years old or more, they were grouped as adulthood-diagnosed group (AD). Results: The CD and AD included 50 (46.3%) and 58 (53.7%) patients, respectively. Inattention was the most common symptom in both groups. Behavioral and emotional problems were the second most frequent symptoms in the CD and AD, respectively. The intelligent quotient was significantly higher in the AD than in the CD. The most common comorbidity was depression in the CD and personality disorder in the AD. The most common reason for visiting the hospital was referral by acquaintances in the CD and media coverage in the AD. Conclusion: Clinicians should put ADHD on the index of suspicion when they examine adults with various psychiatric symptoms, because the diagnosis of ADHD might have been missed in childhood and the symptoms of ADHD might have changed as they grew up.

Affinity of Endothelial Cells to a Polyurethane Vascular Graft: A Preliminary Animal Study (폴리우레탄 인공혈관에 대한 혈관내피세포의 친화성: 예비동물실험)

  • Ahn, Seung Hyun;Jun, Young min;Chang, Hak;Park, Chung Hee;Minn, Kyung Won
    • Archives of Plastic Surgery
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    • v.36 no.4
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    • pp.380-384
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    • 2009
  • Purpose: Autologous vessels remain the gold standard for vascular grafts in microanastomoses. However, they are sometimes unavailable and have a limited long - term patency. Synthetic vessels have high success rates in large - diameter reconstructions but failed when used as small - diameter grafts due to graft occlusion. It has been proved that endothelial cell seeding improves prosthesis performance and long - term patency. Among polyurethane, PET and ePTFE, polyurethane has the best affinity to endothelial cells and mechanical properties closest to human vessels. We examined the ability of endothelial cells to attach to a polyurethane graft manufactured by the electrospinning method. Methods: Endothelial cells, which were cultured from porcine internal jugular veins, were attached to polyurethane grafts with an internal diameter of 3 mm. The same cells were attached to allogeneic decellularized porcine internal carotid artery grafts as controls. Both of the 10 mm - long grafts were exposed to endothelial cells in a well for 1 hour. Each well contained $2{\times}10^5$ endothelial cells. The graft materials were rotated through 90 degrees every 15 minutes in order to minimize the effect of gravity. The extent of cell attachment was examined with the MTT assay. Results: The MTT assay showed good incorporation of endothelial cells into both grafts. For the evaluation of affinity, the number of attached cells was counted at 10 fields of microscopic examination with ${\times}40$ magnification. Endothelial cells adhered more to polyurethane grafts (mean, $127.4{\pm}6.2cells$) compared to porcine artery grafts (mean $45.8{\pm}5.1cells$)(p<0.05,Mann - Whitney test). Conclusion: In this study, we attached porcine endothelial cells to polyurethane grafts, manufactured by electrospinning. The grafts exhibited a better affinity to endothelial cells than allogeneic decellularized porcine internal carotid artery grafts. It is suggested that the time required for endothelial cells to attach to decellulized artery grafts may be longer than that which is required for attachment to polyurethane grafts.

Effectiveness Evalution of 18F-FDG Auto Dispenser (RIID: Radiopharmaceutical Intelligent Dispenser) (18F-FDG 자동분주기 사용에 따른 유용성 평가)

  • Yoo, Moon-Gon;Moon, Jae-Seung;Kim, Su-Geun;Shin, Min-Yong;Kim, Seung-Chul;Lee, Tea-hun;An, Sung-Hyeun
    • The Korean Journal of Nuclear Medicine Technology
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    • v.22 no.2
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    • pp.79-83
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    • 2018
  • Purpose $^{18}F-FDG$, which is commonly used in PET-CT examinations, is low in capacity and it is difficult to keep the amount of radioactivity busy when the specific activity is high, increasing the amount of space dose and radioactive contamination in the distribution room. Therefore, while evaluating the actual dose administered to patients during the manual dispense process, the medical institution intends to assess the usefulness of the auto dispenser by comparing the differences from the actual dose administered to the patient using the new automatic dispense. Materials and Methods From July 2016 to December 2016, 846 patients were manually administered by workers using $^{18}F-FDG$ and $^{18}F-FDG$ 906 patients were using auto dispenser from July 2017 to December 2017. Results Capacity administered to patients during the manual dispense averaged $35.41{\pm}27.79%$ compared to the recommended dose, and the auto dispenser process showed a small difference of $-2.15{\pm}3.99%$ compared to the recommended dose(p<0.05). Conclusion Working people did not have to touch radioactive medicines directly while they were busy in the auto dispenser, and because of the availability of other tasks far away, the time and distance to receive the exposure were also advantageous. It is believed that future use by many medical institutions will not only reduce the dose to patients but also help reduce the exposure dose to workers.

Smart Tongue Electronic Chart System (스마트 설진 전자챠트 시스템)

  • Hong, You-Sik
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.12 no.2
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    • pp.243-249
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    • 2012
  • These days it is becoming more and more common to find electronic medical screening systems installed in Oriental hospitals and clinics. This is a relatively new development for the practice of traditional Oriental medicine. Specifically, Pulse detection machines are being utilized in order to help determine a patient's disease scientifically. However, identifying and diagnosing the specific disease correctly for each patient is still very difficult in Oriental medicine. The intention of this paper is to propose a solution which uses two separate Electronic systems working together to produce a better likelihood of finding the correct diagnosis for each patient. It is proposed that an EMR intelligent electronic chart system be developed and employed, which would utilize both Pulse wave system and a tongue detection system at the same time, in order to solve the problem. Computer simulation results have proven to show that EMR systems used in hospitals and clinics are more efficient and yield a more accurate diagnosis than traditional methods.

Current Developments of Biomedical Mobile Devices for Ubiquitous Healthcare (u-Healthcare를 위한 바이오 단말기의 개발 현황)

  • Lee, Tae-Soo;Hong, Joo-Hyun
    • Journal of Biomedical Engineering Research
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    • v.30 no.3
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    • pp.185-190
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    • 2009
  • Biomedical mobile devices for ubiquitous healthcare consist of biomedical sensors and communication terminal. They have two types of configuration. One is the sensor-network type device using wired or wireless communication with intelligent sensors to acquire biomedical data. The other is the sensor embedded type device, where the data can be acquired directly by itself. There are many examples of sensor network type, such as, fall detection sensor, blood glucose sensor, and ECG sensors networked with commercial PDA phone and commercial phone terminal for ubiquitous healthcare. On the other hand, sensor embedded type mounts blood glucose sensor, accelerometer, and etc. on commercial phone. However, to enable true ubiquitous healthcare, motion sensing is essential, because users go around anywhere and their signals should be measured and monitored, when they are affected by the motion. Therefore, in this paper, two biomedical mobile devices with motion monitoring function were addressed. One is sensor-network type with motion monitoring function, which uses Zigbee communication to measure the ECG, PPG and acceleration. The other is sensor-embedded type with motion monitoring function, which also can measure the data and uses the built-in cellular phone network modem for remote connection. These devices are expected to be useful for ubiquitous healthcare in coming aged society in Korea.