• Title/Summary/Keyword: 선별검사

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Usefulness about BSGI (Breast Specific Gamma Imaging) in Breast Cancer Patients (유방암 환자에서 Breast Specific Gamma Imaging (BSGI)의 유용성)

  • Cho, Yong-Gwi;Pyo, Seong-Jae;Kim, Bong-Su;Shin, Chea-Ho;Cho, Jin-Woo;Yeo, Ji-Yeon;Kim, Chang-Ho
    • The Korean Journal of Nuclear Medicine Technology
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    • v.13 no.3
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    • pp.92-101
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    • 2009
  • Purpose: Scintimammography is one of the screening tests for the early diagnosis of breast cancer. It has been widely accepted as very useful in assessing masses that have not been detected in breast scanning. This method is highly sensitive and specific with respect to the diagnosis of primary and relapsing breast cancer. It has some difficulties, however, in detecting tumors sized 1 cm and below due to the radioactivity around the breast and the geometrical structure of the equipment. The recent introduction of high-resolution Breast-specific Gamma Imaging (BSGI) has made it possible to more accurately discriminate between malignant and benign tumors than with any other test method. Thus, the possibility of an unnecessary biopsy being performed has decreased. The purpose of this study was to examine the diagnostic capacity of mammography, breast sonography, and scintimammography, which are used for the early diagnosis of known breast cancer, and of BSGI, and to evaluate the skillfulness of radiologists. Materials and Methods: The 53 volunteers participants who had no clinical manifestation of breast cancer underwent the BSGI in February 2009. In the BSGI procedure, scanning images were obtained from the craniocaudal projection (CC) and the mediolateral Oblique projection (MLO), as well as from the additional $80{\times}80$-matrix-sized views at various angles in the Present Time method, 10 minutes after the 25 mCi $^{99m}Tc$-MIBI was injected. Results: The results of the BSGI showed that two participants had masses in their breast tissue. As the results of the diagnosis of four participants were not clear, they were retested and the results of the second test were negative. The results of the clinical screening test for breast cancer showed that the sensitivity of BSGI, scintimammography, mammography, and breast sonography was 86.5%, 77.8%, 85~90%, and 66.7%, respectively, and that their specificity was 92.4%, 84.2%, 20~42%, and 68%, respectively. Conclusion: The autodiagnosis and breast cancer screening test are needed for the early diagnosis of breast cancer. It was not easy, however, to accurately determine the presence of a mass in the breast using the existing breast cancer screening test. The patients with unclear test findings were made to undergo a histologic biopsy for a more accurate diagnosis. It is expected that the BSGI can provide useful information for the early diagnosis of breast cancer and of primary breast cancer, and will reduce the performance of unnecessary biopsies because of its higher sensitivity and specificity than existing breast cancer screening tests.

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A study on the possibility of using dual task performance as a screening test for driving ability of elderly drivers (노인운전자 운전능력 선별검사로서 이중과제수행의 활용 가능성 연구)

  • Shin, Su-Jung
    • Journal of Convergence for Information Technology
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    • v.11 no.4
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    • pp.161-167
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    • 2021
  • This study was conducted to identify the relationship between the dual task performance and driving behavior of the elderly driver in order to identify whether the dual task can be utilized as a test to screen the driving ability of the elderly driver. We surveyed general information and driving-related information for 32 normal elderly drivers, and evaluated Y-DuCog(Yonsei-Dual task Cognitive screening) and the K-DBQ (Korean-Driving Behavior Questionnaire). As a result of the study, the performance of the dual task using the pegboard task and the animal name speaking showed a significant correlation with the score of the violation domain of K-DBQ. With this study, it was possible to confirm the possibility as a test for discrimination of driving ability.

A Case with Tyrosinemia Type I Detected by Neonatal Screening Test (신생아 대사이상 선별검사 이상으로 진단된 I형 타이로신혈증)

  • Sohn, Young Bae;Lee, Hae-Sang;Lee, Jang Hoon;Hwang, Jin Soon
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.12 no.2
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    • pp.99-103
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    • 2012
  • Tyrosinemia type I is an autosomal recessive inborn error of tyrosine metabolism that caused a mutation. Clinical symptoms include progressive liver damage with liver failure, coagulopathy, hypophosphataemic rickets, renal tubular dysfunction and a high risk of hepatocellular carcinoma. If left untreated, the affected infants may die from liver failure within the first year of life. PharmacoloIcal therapy with 2-(2-nitro-4-trifluoromethylbenzoyl)-1,3-cyclohexanedione (NTBC) has offered an effective therapeutic option in addition to dietary restriction of tyrosine and phenylalanine. As prognosis of tyrosinemia type I is improving with early diagnosis and early treatments, it meets the criteria for a condition that would benefit from newborn screening. We report a case of tyrosinemia type I diagnosed by newborn screening and successive biochemical analysis of plasma and urine, treated by dietary restriction and NTBC.

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Galactosemia Detected by Neonatal Screening Test (신생아 선별검사에 의해 발견된 갈락토스혈증에 대한 고찰)

  • Park, Il Sung;Cho, Hye Jung;Lee, Dong Hwan;Song, Jung Hwan
    • Clinical and Experimental Pediatrics
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    • v.46 no.5
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    • pp.440-446
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    • 2003
  • Purpose : The genetic disturbance of galactosemia is expressed as a cellular deficiency of either galactose-1-phosphate uridyltransferase(GALT) or galactokinase(GALK) or UDP galactose 4-epimerase(GALE). To find-out the pattern of galactosemia in Korea, we retrospectively analyzed cases of galactosemia detected by neonatal screening program. Methods : We analyzed medical records of patients who visited Soonchunhyang University Hospital at age of 1 month after showing abnormalities in neonatal screening of galactosemia. For accurate diagnosis, galactose was measured by enzyme immunoassay(EIA) and fluorophotometer, also galactose-1-phosphate by fluorophotometer. Enzyme activities of GALK, GALT and GALE in RBC and galactose-1-phosphate were measured by radioisotope assay(RIA). Beutler test were done. Patients went on a lactose-free diet and follow-up tests for galactose, galactose-1-phosphate level and enzyme activity were performed. Results : 10 patients(male : 6, female : 4) were diagnosed as galactosemia. Two patients had GALK deficiency and two had GALT deficiency. Six were GALE deficient showing the largest number. In two patients with GALK deficiency, GALT and GALE activities were normal but GALK activities showed respectively reduced activity. For GALT deficiency, two patients had low GALT activity in RBC and showed genotype of Duarte 2/G(galactosemia) in DNA analysis. In one patient, GALT activity was normal. Three patients seemed to be heterozygote state of GALE deficiency according to GALE activity levels. Four patients showed GALK hyperactivity. Conclusion : GALE deficiency provided the highest number. After lactose-free diet, galactose and galactose-1-phosphate were normaly maintained. Neonatal screening on galactosemia is essential for preventing life-threatening symptoms and an accurate diagnosis is needed for finding out the type of galactosemia which is important for prognosis.

A Study on the Mental Care Service of the Elderly through Effective Cognitive Impairment Screening Question (효율적인 경도인지장애 선별 문항을 통한 노인의 마음 돌봄 서비스 연구)

  • Jeong, Ji Won;Lee, Jeong Ha;Cho, Hyun Seung;Lee, Jong Won;Kim, Hansoo
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2022.07a
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    • pp.307-310
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    • 2022
  • 4차 산업혁명의 기술이 발전함에 따라 세계는 눈부시게 발전하고 있다. 그러나 그와 동시에 어르신들의 치매로 인한 사회적 비용의 증가로 발생하는 문제점 또한 무시하지 못할 수준에 이르렀다. 이에 조기에 치매를 선별하여 예방하는 것이 중요시되었으며 다양한 연구기관에서는 빠르고 쉽게 치매의 전 단계인 경도인지장애를 선별하고자 여러 선별 검사지를 제작하여 경도인지장애 선별을 통한 치매를 예방하는 데 노력하는 중이다. 하지만 다양한 상황으로 각각의 효율성이 경도인지장애 선별에 대한 기대에 미치지 못하고 있다. 그리하여 본 연구는 기존에 개발된 경도인지장애 선별지 들을 비교 분석 및 코로나 상황에 적합하게 비대면 방식으로 경도인지장애 선별이 가능하도록 보다 효율적으로 개선하였으며 이를 IoT 기기에 접목하였다. 또한 IoT 기기는 어르신들의 경도인지장애 선별검사에 대한 부담감을 줄이고자 친근한 인형 형태로 개발하였으며 상호작용을 위한 기능 제작을 통하여 마음 돌봄 서비스를 구현하였다.

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The usefulness of diagnostic tests in children with language delay (언어 발달지연 환아에서 진단적 검사의 유용성)

  • Oh, Seung Taek;Lee, Eun Sil;Moon, Han Ku
    • Clinical and Experimental Pediatrics
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    • v.52 no.3
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    • pp.289-294
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    • 2009
  • Purpose : To assess the usefulness of magnetic resonance imaging (MRI), karyotyping, brainstem auditory evoked potential (BAEP), electroencephalogram (EEG), tandem mass screening test, and newborn metabolic screening test in children with language delay for diagnosing underlying diseases. Methods : From January 2000 to June 2007, a retrospective chart review was performed for 122 children with language delay who visited the Child Neurology Clinic at Yeungnam University Hospital and who underwent neuropsychologic tests and other diagnostic evaluations for underlying diseases. They were grouped into phenomenological diagnostic categories, and test results were analyzed according to the underlying diseases. Results : Of 122 patients, 47 (38.5%) had mental retardation, 40 (32.8%) had developmental language disorders, 23 (18.9 %) had borderline IQ, and 12 (9.8%) had autism spectrum disorder. In 26 (21.3%) cases, the causes or relevant clinical findings to explain language delay were found. Eight (10.4%) of 77 MRIs, 6 (8.0%) of 75 EEGs, and 4 (5%) of 80 BAEPs showed abnormal results. Results directly attributed to diagnosing underlying diseases were 2 hearing defects in BAEPs and 1 bilateral perisylvian cortical dysplasia in MRIs. No abnormal results were found in karyotyping, tandem mass screening tests, and new-born screening tests. Conclusion : Commonly used tests to diagnose the cause of language delay are not very effective and should only be used selectively, according to patient characteristics. However, despite the low diagnostic yields from these tests, because many patients show abnormal results, these tests are useful when conducted in complete evaluation.

Design of Cap Inspection Algorithm of Fuse Cap (퓨즈 캡의 검사를 위한 알고리즘 설계)

  • Ban, Gi-Jong;Won, Young-Jin;Lim, Seung-Ha
    • 전자공학회논문지 IE
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    • v.47 no.4
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    • pp.28-33
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    • 2010
  • In this paper, we proposed to the inspection algorithm for cap, Electric fuse is an over current and circuit protection device which is occurred in electric & electronic appliance. Also the fuse are protection the second hazard at arc etc. Fuse are interest regarding a safety increased. Consequently, the fuse came to be very important. Cap inspection algorithm is designed for the cap of fuse. CCD camera is monitering the solder of cap distribution map. The conditioning of fuse cap; suming all searching data with non solder area. the area is bigger reference data then the cap is bad cap.

The Guideline for Colorectal Cancer Screening (대장암 선별검사 권고안)

  • Dong Il Park
    • Journal of Digestive Cancer Research
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    • v.4 no.1
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    • pp.17-20
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    • 2016
  • Colorectal cancer is the 2nd most common cancer in men, and the 3rd most common cancer in women in Korea. This incidence has been increasing steadily since the data analysis began in 1999. Guidelines from many countries including Korea recommend annual or biennial fecal occult blood test as a national colorectal cancer screening program, however, colonoscopy, stool DNA test, double contrast barium enema, and sigmoidoscopy are recommended in some countries. I will summarize the Korean National Screening Guideline for colorectal cancer revised by multi-society expert committee in Korea last year. They recommend annual or biennial fecal immunochemical test between 45 and 80 year-old asymptomatic average risk people. Selective use of colonoscopy is recommended, taking into consideration of individual preference and the risk of colorectal cancer. There is no evidence for the risks or benefits of double contrast barium enema or computed tomographic colonography for colorectal cancer screening.

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Convergence research on cytological diagnosis of gynecological diseases and genital HPV : Based on data from the Obstetrics and Gynecology Department of a general hospital located in Suwon-si (수원시 소재 일개 종합병원 산부인과에서 자궁경부 질환 검사의 실태조사 : HPV와 세포학적 검사의 융합연구)

  • Joung, You Hyun;Lee, Jun Min;Kim, Jong-Wan;Kim, Jae Kyung
    • Journal of the Korea Convergence Society
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    • v.13 no.1
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    • pp.119-129
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    • 2022
  • Cervical cytology has been widely used as a screening tool for cervical cancer. However, Human papillomavirus (HPV) detection and subtype testing are suggested to overcome the high false-negative rate associated with cytology. We aimed to investigate the clinical usefulness and infection rate in the HPV polymerase chain reaction (PCR) test performed in hospitals. HPV PCR data from 217 patients were analyzed. Analysis of variance revealed a significant difference in the infection rate among different age groups (P=0.015). The biopsy results showed that epithelial cell abnormalities and high HPV-positivity rate was observed in 1 (100%) subject aged <29 years, in 4 out of 5 (80%) patients in their 30s, and in 3 out of 4 (75%) patients aged ≥70 years. The prevalence of HPV infection was very high (46.1%). The highest prevalence (87.5%) was observed among patients in their <29, followed by those in their 30s (67.7%) and those in their 40s (31.9%).A high rate of epithelial cell abnormalities (≥ cervical intraepithelial neoplasia type 1, mild dysplasia) was observed in HPV-infected women aged<30 years. Therefore, extensive research and prevention activities are needed in this age group. HPV PCR testing is recommended to complement cervical cytology