• Title/Summary/Keyword: standardized value

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Prediction of response by FDG PET early during concurrent chemoradiotherapy for locally advanced non-small cell lung cancer

  • Kim, Suzy;Oh, So Won;Kim, Jin Soo;Kim, Ki Hwan;Kim, Yu Kyeong
    • Radiation Oncology Journal
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    • v.32 no.4
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    • pp.231-237
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    • 2014
  • Purpose: To evaluate the predictive value of the early response of $^{18}F$-flurodeoxyglucose positron emission tomography (FDG PET) during concurrent chemoradiotherapy (CCRT) for locally advanced non-small cell lung cancer (NSCLC). Materials and Methods: FDG PET was performed before and during CCRT for 13 NSCLC patients. Maximum standardized uptake value ($SUV_{max}$), mean standardized uptake value ($SUV_{mean}$), metabolic tumor volume (MTV), and total lesion glycolysis (TLG) were measured and the changes were calculated. These early metabolic changes were compared with the standard tumor response by computed tomograms (CT) one month after CCRT. Results: One month after the completion of CCRT, 9 patients had partial response (PR) of tumor and 4 patients had stable disease. The percent changes of $SUV_{max}$ ($%{\Delta}SUV_{max}$) were larger in responder group than in non-responder group ($55.7%{\pm}15.6%$ vs. $23.1%{\pm}19.0%$, p = 0.01). The percent changes of $SUV_{mean}$ ($%{\Delta}SUV_{mean}$) were also larger in responder group than in non-responder group ($54.4%{\pm}15.9%$ vs. $22.3%{\pm}23.0%$, p = 0.01). The percent changes of MTV ($%{\Delta}MTV$) or TLG ($%{\Delta}TLG$) had no correlation with the tumor response after treatment. All the 7 patients (100%) with $%{\Delta}SUV_{max}{\geq}50%$ had PR, but only 2 out of 6 patients (33%) with $%{\Delta}SUV_{max}$ < 50% had PR after CCRT (p = 0.009). Likewise, all the 6 patients (100%) with $%{\Delta}SUV_{mean}{\geq}50%$ had PR, but only 3 out of 7 patients (43%) with $%{\Delta}SUV_{mean}$ < 50% had PR after CCRT (p = 0.026). Conclusion: The degree of metabolic changes measured by PET-CT during CCRT was predictive for NSCLC tumor response after CCRT.

A Study on How Height and Weight Affects Glomerular Filtration Rate (신장과 체중의 변화가 사구체 여과율에 미치는 영향)

  • Park, A Rang;Choi, Jong Sook;Lee, Young Hee;Jung, Woo Young
    • The Korean Journal of Nuclear Medicine Technology
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    • v.23 no.1
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    • pp.40-44
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    • 2019
  • Purpose Glomerular filtration rate (GFR) is an important index for evaluation of renal function, renal disease diagnosis and progress monitoring. Therefore, accurate measurement of GFR is clinically important. Among the factors that affect the GFR result, there have been many discussions on the methods such as the correction of the kidney depth, net syringe count, and the method of setting the ROI. However there has been no consideration of counting in the most basic factors like height and weight measurement. In this study, we investigate how height and weight changes affects the result of GFR and review the importance of standardized body measurements. Materials and Methods Fifty patients who underwent GFR test were randomly sampled and examined for changes in height and body weight within one month. From the normal patients without renal disease to the patients with severely decreased GFR, we applied the GFR formula of Gate with varying height and weight. Results: The result showed variation of the height at maximum three centimeters and six kilograms of weight. The first calculation of GFR was done with fixed height value and control variable as weight. Weight was incremented by one kilogram each time up to six kilograms. The GFR showed increased result with increasing weight. The result of GFR showed ten percent increase with six kilograms of weight increase. On the other hand, when height value was incremented by one centimeter up to three centimeters showed decreased GFR result with fixed weight value. Up to three centimeters of height increase showed two percent of decreased GFR with fixed weight. Conclusion This study showed varying GFR result when height and weight changes. Therefore it is clinically crucial not only to maintain and manage body measuring instrument but also to have a standardized measurement methods to derive accurate measured values and to achieve reproducibility.

The Difference of Standardized Uptake Value on PET-CT According to Change of CT Parameters (PET-CT에서 CT의 관전압 및 관전류에 따른 SUV값의 변화)

  • Shin, Gyoo-Seul;Dong, Kyeong-Rae
    • Journal of radiological science and technology
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    • v.30 no.4
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    • pp.373-379
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    • 2007
  • Purpose : There is difference between PET and PET/CT method on their transmission image for attenuation correction. The CT image is used for attenuation correction on PET/CT and the parameters of CT may be affected on PET image. We performed the phantom study to evaluate whether the change of CT parameters(kilovolts peak and milliampere) affect standardized uptake value(SUV) on PET image. Material and Method: The data spectrum lung phantom containing diluted [18F]fluorodeoxyglucose ([18F]FDG) solution(1.909 mCi for phantom 1, $913\;{\mu}Ci$ for phantom 2) was used. The CT images of phantom were acquired with varying parameters (80, 100, 120, 140 for kVp, 10, 20, 30, 40, 50, 60, 70, 80, 90, 100 for mA). The PET images were reconstructed with the each CT images and SUVs were compared. Result : The SUVs of phantom 1 reconstructed with each 80, 100, 120 and 140 kVp showed $12.26{\pm}0.009$, $12.27{\pm}0.005$, $12.27{\pm}0.006$ and $12.27{\pm}0.009$, respectively. The SUVs of phantom 2 revealed $4.52{\pm}0.043$, $4.53{\pm}0.004$, $4.52{\pm}0.007$ and $4.52{\pm}0.005$ with elevation of voltage. There was no statistically significant difference of SUVs between groups based on various kVp. Also SUVs of phantom 1 and 2 showed no significant change with elevation of milliampere in CT parameter. Conclusion : The parameters of CT did not significantly affect SUV on PET image in our study. Therefore we can apply various parameters of CT appropriated for clinical conditions without significant change of SUV on PET CT image.

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Evaluation of Standardized Uptake Value applying EQ PET across different PET/CT scanners and reconstruction (PET/CT 장비와 영상 재구성 차이에 따른 EQ PET을 이용한 표준섭취계수의 평가)

  • Yoon, Seok Hwan;Kim, Byung Jin;Moon, Il Sang;Lee, Hong Jae
    • The Korean Journal of Nuclear Medicine Technology
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    • v.22 no.1
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    • pp.35-42
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    • 2018
  • Purpose Standardized uptake value(SUV) has been widely used as a quantitative metric of uptake in PET/CT for diagnosis of malignant tumors and evaluation of tumor therapy response. However, the SUV depends on various factor including PET/CT scanner specifications and reconstruction parameter. The purpose of this study is to validate a EQ PET to evaluate SUV across different PET/CT systems. Materials and Methods First, NEMA IEC body phantom data were used to calculate the EQ filter for OSEM3D with PSF and TOF reconstruction from three different PET/CT systems in order to obtain EARL compliant recovery coefficients of each spheres. The Biograph true point 40 PET/CT images were reconstructed with a OSEM3D+PSF reconstruction, images of the Biograph mCT 40 and Biograph mCT 64 PET/CT scanners were reconstructed with a OSEM3D+PSF, OSEM3D+TOF, OSEM3D+PSF+TOF. Post reconstructions, the proprietary EQ filter was applied to the reconstruction data. Recovery coefficient can be estimated by ratio of measured to true activity concentration for spheres of different volume and coefficient variability(CV) value of RC for each sphere was compared. For clinical study, we compared SUVmax applying different reconstruction algorithms in FDG PET images of 61 patients with lung cancer using Biograph mCT 40 PET/CT scanner. Results For the phantom studied, the mean values of CV for OSEM3D, OSEM3D+PSF, OSEM3D+TOF and OSEM3D+PSF+TOF reconstructions were 0.05, 0.04, 0.04 and 0.03 respectively for RC. Application of the proprietary EQ filter, the mean values of CV for OSEM3D, OSEM3D+PSF, OSEM3D+TOF and OSEM3D+PSF+TOF reconstructions were 0.04, 0.03, 0.03 and 0.02 respectively for RC. Clinical study, there were no statistical significance of the difference applying EQ PET on SUVmax of 61 patients FDG PET image. (p=1.000) Conclusion This study indicates that CV values of RC in phantom were decreased after applying EQ PET for different PET/CT system and The EQ PET reduced reconstruction dependent variation in SUVs for 61 lung cancer patients, Therefore, EQ PET will be expected to provide accurate quantification when the patient is scanned on different PET/CT system.

Evaluating the Validity of the Pediatric Index of Mortality Ⅱ in the Intensive Care Units (소아중환자를 대상으로 한 PIM Ⅱ의 타당도 평가)

  • Kim, Jung-Soon;Boo, Sun-Joo
    • Journal of Korean Academy of Nursing
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    • v.35 no.1
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    • pp.47-55
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    • 2005
  • Purpose: This study was to evaluate the validity of the Pediatric Index of Mortality Ⅱ(PIM Ⅱ). Method: The first values on PIM Ⅱ variables following ICU admission were collected from the patient's charts of 548 admissions retrospectively in three ICUs(medical, surgical, and neurosurgical) at P University Hospital and a cardiac ICU at D University Hospital in Busan from January 1, 2002 to December 31, 2003. Data was analyzed with the SPSSWIN 10.0 program for the descriptive statistics, correlation coefficient, standardized mortality ratio(SMR), validity index(sensitivity, specificity, positive predictive value, negative predictive value), and AUC of ROC curve. Result: The mortality rate was 10.9% (60 cases) and the predicted death rate was 9.5%. The correlation coefficient(r) between observed and expected death rates was .929(p<.01) and SMR was 1.15. Se, Sp, pPv, nPv, and the correct classification rate were .80, .96, .70, .98, and 94.0% respectively. In addition, areas under the curve (AUC) of the receiver operating characteristic(ROC) was 0.954 (95% CI=0.919~0.989). According to demographic characteristics, mortality was underestimated in the medical group and overestimated in the surgical group. In addition, the AUCs of ROC curve were generally high in all subgroups. Conclusion: The PIM Ⅱ showed a good, so it can be utilized for the subject hospital. better.

Self-Actualization of College Students in Distance Education Analyzed from Nursing Counseling (정신간호상담에서 나타난 방송통신 대학생의 자아실현 분석)

  • 이소우;박명자
    • Journal of Korean Academy of Nursing
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    • v.17 no.1
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    • pp.33-43
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    • 1987
  • This study was to explore the level of self-actualization of the students in Korea Air and Correspondence University. The study subjects consisted of 507 students who visited the counseling center for taking advices to several psychosocial problems due to distance education through nursing counseling. The self actualization of the subjects evaluated by the self-actualization Inventory standardized by Kim and Lee in Korea. It consisted of 130 two-choice comparative value and behavior judgements. The items also consisted of two basic scales: one is inner directed scale (107 items) and the other is time competence (23 items) which included eight subscales, each of which measures a conceptually important element of self-actualization. Analysis of finding was as follows: 1) The self-actualization mean score of the total subjects was characterized by normal value within normal range of scale. The highest subscale score was NC scale: the lowest scale was EX scale. 2) The mean score of time competence scale of female student was higher than male student's time competence scale. 3) There was no significant differences in self aclualization among 4 groups in age. 4) There was also no significant differences in self-actualization between the group taken one time nursing counseling and the group taken two more times nursing counseling. 5) The problems of Job, learning, personality and further study, significantly had effects on the score of self-actualization level.

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Study on the Application Limits and Sensitivity Analysis for the Parameters of Time of Concentration (도달시간 산정공식의 입력변수 적용범위 및 민감도 분석)

  • 김선주;강상진;이광야;박재흥
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.42 no.6
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    • pp.72-82
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    • 2000
  • Many lot of books introduce the methods to calculate the time of concentration, and these are described as various forms of formulas. There are few formulas appropriate for our basin characteristics Therefone, there are problems to make excessive or less estimation when these formulas are used. To solve these problems, comparison of formulas and sensitivity analysis for them were made with converting parameters. Finally, Time of concentration was estimated to derive Application limits for 3 watersheds by standardized formulas. In the case of input parameters analysis, SCS formula has the highest value by the length, Kerby by the height and SCS by the slope, respectively, while Kraven formula has the lowest value among them. Concerning the relative sensitivity by Taylor series, the time of concentration showed the constant effect while increasing of the length and slope, and the length was more sensitive than the slope in parameters. Finally the standardization formula developed in this study was applied to derive application limits for 3 watersheds(total 17 subbasins). In this case, Rziha(8 subbasins) and SCS(9 subbasins) formulas were the most similar to observed data of total 17 subbasins respectively. Application limits were about 300~500$\textrm{km}^2$ area, 30~60km length and under 0.01 slope for Rziha formula and about 100~200$\textrm{km}^2$ area, 10~30km length, and over 0.01 slope for SCS formula, respectively.

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COMPARATIVE STUDIES ON THE RETENTIVE VALUES OF VARIOUS DENIAL CEMENTS USED TO RETAIN ORTHODONTIC BANDS (교정용 BANDS 접착에 사용되는 각종 치과용 시멘트의 유지력에 관한 비교 연구)

  • Kim, Joo Young;Ryu, Young Kyu
    • The korean journal of orthodontics
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    • v.11 no.2
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    • pp.151-160
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    • 1981
  • The purpose of this study was to compare the retentive values of various dental cements used for cementing the orthodontic bands on the teeth. Sound freshly extracted human premolar teeth were selected for the study. Eleven commercial dental cements (Zinc phosphate, reinforced Zinc-oxide eugenol, Carboxylate and Glass ionomer cements) were handled under standardized conditions. All cemented speciments were then kept in a thermostatic humidor cabinet regulated at $23{\pm}2^{\circ}C$ and more than $95\%$ relative humidity and tested after 24 hours and 1 week each. The force required to remove the cemented orthodontic bands from the teeth was determined on an Instron Universal Testing Machine using a modified specimen holding device with a cross-head speed of 0.20mm/min. The results obtained were as follows: 1, The retentive values of the band cemented with zinc phosphate cements and carboxylate cements were considerably higher than those of the reinforced zinc oxide-eugenol and glass ionomer cements. 2. There was no significant difference between the retentive value of carboxylate cements as compared with zinc phosphate cements. 3. The retentive value of the reinforced zinc oxide eugenol cements was lowest all of the coements. The retentive values expressed for all cements up to at least one week were highly but no significant difference was found between the 24-hour and 7 day time intervals.

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Changes of Dimensional Stability of Cotton Knitted Fabrics after Flame Resistant Treatment (면 편성물의 방염처리에 의한 형태안정성의 변화)

  • Jee Ju-Won
    • Journal of the Korean Society of Clothing and Textiles
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    • v.29 no.9_10 s.146
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    • pp.1274-1284
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    • 2005
  • Effect of fixation methods and relaxation treatment on the dimensional stability and physical properties of MDPPA/HMM treated cotton knitted fabrics were studied. Combination of four different fixation methods - relaxation, swelling agent treatment, pad dry cure fixation, and wet fixation - were applied to flame retardant finish of 4 kinds of cotton knitted fabric with MDPPA/HMM. Then these fabrics were washed 10 times. As a result, In swelling treatment on 10G showed relatively higher value of length shrinkage than 14G. Length and width shrinkage were increased by initial washing treatment and no further change was shown after 6 washing cycles. After 10 washing cycles, length and width shrinkage decreased. The KES standardized basic value of B/W, 2HB/W and bursting strength of interlock were relatively larger than those of single jersey. The values of B/W and 2HB/W of cotton knitted fabrics were increased by relaxation and washing treatment but were decreased by swelling treatment. In addition, the bursting strength of the cotton knitted fabrics was decreased after fusing, washing and relaxation treatment.

BIM-enabled Quantitative Indicators for Analyzing Building Circulation in Early Phase of Design (설계초기 동선 분석을 위한 BIM기반 정량 평가지표 및 평가체계에 관한 연구)

  • Shin, Jaeyoung;Lee, Jin-Kook
    • Korean Institute of Interior Design Journal
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    • v.25 no.4
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    • pp.147-155
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    • 2016
  • In order to ensure a certain level of the quality of design, standardized evaluation indicators are being used as an objective criterion. Even though the evaluation indicators are quantifiable, limitations such as inefficiency and inconsistency caused by manual task in the evaluation process still have been found. BIM (Building Information Modeling) technology that is commonly adopted in architectural design process provides an environment which enables us to figure out a building model to be interpreted quantitatively with the basis of the building information model. It supports quantitative, consistent, accurate and quick evaluations so as to improve quality of design even in the initial design phase. This paper aims to establish BIM-enabled quantitative indicators and an evaluation framework to analyze building circulation even in early phase of design. The indicators are composed of 4 types (relative distance, accessibility, simplicity, pedestrian friendliness) and 7 sub-types. The evaluation framework is the process to derive Parameterized Path Value (PPV) as weighting on each indicator. For demonstrating the scalability of the suggested evaluation indicators and the framework, the authors implemented an evaluation tool and a case study has been carried out by using an actual building remodel project.