• Title/Summary/Keyword: 비 침습

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Factors Affecting Prognosis in Early Gastric Cancer (조기위암 환자의 예후에 영향을 주는 인자)

  • Han, Ki-Bin;Jang, You-Jin;Kim, Jong-Han;Park, Sung-Soo;Park, Seong-Heum;Kim, Seung-Ju;Mok, Young-Jae;Kim, Chong-Suk
    • Journal of Gastric Cancer
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    • v.9 no.4
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    • pp.238-245
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    • 2009
  • Purpose: Treatment strategies for early gastric carcinoma (EGC) should be based on achieving a complete cure, but clear indications for limited surgery have not been established. We investigated surgical outcomes for early gastric cancer to determine the optimal? treatment strategy for EGC. Materials and Methods: Subjects included 881 patients who underwent curative surgery for EGC between 1986 and 2003. Retrospective uni & multi-variate analysis for prognostic factors, factors affecting lymph node metastasis, and risk factors for cancer recurrence were analyzed. Results: In multivariate survival analyses, age, operation method, macroscopic appearance and lymph node stage proved to be independent prognostic factors. Lymph node metastasis, depth of tumor invasion, tumor size, lymphatic and venous invasion were also significant risk factors in multivariate analyses. In multivariate analyses for cancer recurrence, depth of tumor invasion and lymph node metastasis proved to be significant risk factors. Conclusion: Appropriate surgical treatment with lymph node dissection is necessary for EGC patients with risk factors for lymph node metastasis.

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Noise Removal Algorithm for Accurate Mean Arterial Pressure Measurement in Pressurized Oscillometric Method (가압식 오실로메트릭 측정법에서 정확한 평균 동맥압 측정을 위한 노이즈 제거 알고리즘)

  • Joh, In-hee;Lim, Jung-hyun;Kim, Young-kil
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2018.05a
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    • pp.184-187
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    • 2018
  • The most important factor in the prevention and treatment of cerebral infarction is to increase cerebral blood flow. Methods for increasing cerebral blood flow include drug-based methods, the surgery, invasive procedures directly inserting medical devices into the artery(NeuroFloTM) and so on. The noninvasive cerebral blood flow increasing device proposed in this paper can reduce the burden on the patient because the probability of complication is low and the treatment level can be determined according to the blood pressure state of the patient. In implementing such a noninvasive cerebral blood flow increasing device, it is important to measure the accurate mean arterial pressure for provision the appropriate level of treatment for the patient. Therefore, to remove a noise, analog and digital filters were used and algorithm for peak value detection, pump control algorithms and so on were.

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Cerebral blood flow enhancement device using Blood Oxygen Level Sensor (Blood Oxygen Level Sensor를 이용한 대뇌혈류증가 장치)

  • Lim, Jung-hyun;Joh, In-Hee;Kim, Young-kil
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.22 no.8
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    • pp.1083-1089
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    • 2018
  • Surgery to increase cerebral blood flow is one of the treatment methods of cerebral infarction. In order to supplement this invasive method, non-invasive devices have been introduced that use human blood pressure to pressurize the extremities to increase cerebral blood flow. However, the problem of poor speed and accuracy was raised. In this paper, the perfusion index of each arm is measured by applying pressure to both arms using Blood Oxygen Level Sensor to improve the accuracy of measurement and measurement time. The pressure applied to the arm is calculated by using the pressure value obtained from the arm. Like the existing blood pressure measuring cerebral blood flow increasing device, the blood flow can be increased by more than 20% and the measurement time can be shortened, so that it can be selectively used for the patient with cerebral infarction.

Noninvasive Prenatal Diagnosis using Cell-Free Fetal DNA in Maternal Plasma: Clinical Applications

  • Yang, Young-Ho;Han, Sung-Hee;Lee, Kyoung-Ryul
    • Journal of Genetic Medicine
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    • v.8 no.1
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    • pp.1-16
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    • 2011
  • Owing to the risk of fetal loss associated with prenatal diagnostic procedures (amniocentesis, chorionic villus sampling), noninvasive prenatal diagnosis (NIPD) is ultimate goal of prenatal diagnosis. The discovery of circulating cell-free fetal DNA (cffDNA) in maternal plasma in 1997 has opened up new probabilities for NIPD by Dr. Lo et al. The last decade has seen great development in NIPD. Fetal sex and fetal RhD status determination by cffDNA analysis is already in clinical use in certain countries. For routine use, this test is limited by the amount of cell-free maternal DNA in blood sample, the lack of universal fetal markers, and appropriate reference materials. To improve the accuracy of detection of fetal specific sequences in maternal plasma, internal positive controls to confirm to presence of fetal DNA should be analyzed. We have developed strategies for noninvasive determination of fetal gender, and fetal RhD genotyping using cffDNA in maternal plasma, using real-time quantitative polymerase chain reaction (RT-PCR) including RASSF1A epigenetic fetal DNA marker (gender-independent) as internal positive controls, which is to be first successful study of this kind in Korea. In our study, accurate detection of fetal gender through gestational age, and fetal RhD genotyping in RhD-negative pregnant women was achieved. In this assay, we show that the assay is sensitive, easy, fast, and reliable. These developments improve the reliability of the applications of circulating fetal DNA when used in clinical practice to manage sex-linked disorders (e.g., hemophilia, Duchenne muscular dystrophy), congenital adrenal hyperplasia (CAH), RhD incompatibility, and the other noninvasive pregnant diagnostic tests on the coming soon. The study was the first successful case in Korea using cffDNA in maternal plasma, which has created a new avenue for clinical applications of NIPD.

Invasive and non-invasive methods for estimating the optical properties of tissue at laser wavelengths (레이저 파장에서의 생체 침습적 및 비침습적 광학계수 측정 방법)

  • Yoon, Gil-Won
    • Proceedings of the KOSOMBE Conference
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    • v.1994 no.12
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    • pp.147-150
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    • 1994
  • To predict light propagation in biological tissues irradiated by laser, the optical properties such as absorption and scattering coefficients are required. There have been various techniques for measuring these coefficients. One method requires tissue samples, often a slab of thin tissue, is invasive. On the other hand, non-invasive method usually measures back-scattered light from a subject with no physical intervent ions. Advantages and disvantages of using different methods are investigated. A careful attention should be made in order to select the best method for a given experimental condition since, even either for invasive or non-invasive method, accuracy is subject to governing models and sample preparations.

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An Atypical Case of Chronic Invasive Fungal Sinusitis with Concurrent Fungal Ball (진균구를 동반한 비정형적 만성 침습형 진균성 부비동염 1예)

  • Jung, Young Do;Kim, Bo Mun;Kang, Byung Jun;Shin, Seung Heon
    • Journal of Clinical Otolaryngology Head and Neck Surgery
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    • v.29 no.2
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    • pp.264-268
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    • 2018
  • Chronic invasive fungal sinusitis (CIFS) is a relatively rare disease which occurs in immunocompetent or immunocompromised patients. We report a case of CIFS in ethmoid sinus with concurrent fungal ball in maxillary sinus. After surgical debridement and antifungal therapy, CIFS recurred with submucosal invasion in nasopharynx and osteomyelitis of clivus. Although CIFS encompasses a slowly progressing invasive fungal disease but potentially aggressive. It should be noted that CIFS could progress and extend through submucosal route without evidence of mucosal lesion.

Development of a Musculoskeletal Model for Functional Electrical Stimulation - Noninvasive Estimation of Musculoskeletal Model Parameters at Knee Joint - (기능적 전기자극을 위한 근골격계 모델 개발 - 무릎관절에서의 근골격계 모델 특성치의 비침습적 추정 -)

  • 엄광문
    • Journal of Biomedical Engineering Research
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    • v.22 no.3
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    • pp.293-301
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    • 2001
  • A patient-specific musculoskeletal model, whose parameters can be identified noninvasively, was developed for the automatic generation of patient-specific stimulation pattern in FES. The musculotendon system was modeled as a torque-generator and all the passive systems of the musculotendon working at the same joint were included in the skeletal model. Through this, it became possible that the whole model to be identified by using the experimental joint torque or the joint angle trajectories. The model parameters were grouped as recruitment of muscle fibers, passive skeletal system, static and dynamic musculotendon systems, which were identified later in sequence. The parameters in each group were successfully estimated and the maximum normalized RMS errors in all the estimation process was 8%. The model predictions with estimated parameter values were in a good agreement with the experimental results for the sinusoidal, triangular and sawlike stimulation, where the normalized RMS error was less than 17%, Above results show that the suggested musculoskeletal model and its parameter estimation method is reliable.

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