• Title/Summary/Keyword: 의료용 전문가시스템

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A Study on Reasoning for Medical Expert Systems (의료용 전문가 시스템에서 추론에 관한 연구)

  • Kim, Jin-Sang;Shin, Yang-Kyu
    • Journal of the Korean Data and Information Science Society
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    • v.10 no.2
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    • pp.359-367
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    • 1999
  • We investigate a logical approach to represent medical knowledge, reason deductively and diagnostically. It is suggested that medical knowledge-bases can be formulated as a set of sentences stated in classical logic where each sentence reflects a doctor's knowledge about the human anatomy or his/her view of patient's symptoms. It is also suggested that a form of temporal reasoning can be captured within the same framework because each sentence can have a different truth value based on time. We apply our logical framework to formalize diagnostic reasoning, where the primary cause of illness is chosen among the set of minimal causation on the basis of abductive hypotheses. Most of our examples are given in the context of medical expert systems.

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A Design and Implementation of Diabetes Medical Expert System Based Fuzzy Reasoning Method (퍼지 추론 방식을 기반으로 한 의료진단 전문가시스템의 설계 및 구현)

  • 김치걸;이종혁
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 1998.05a
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    • pp.291-294
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    • 1998
  • 본 논문에서는 퍼지라는 개념을 도입하여 기존의 전문가시스템에서 문제점으로 지적되어 온 불확실성, 모호성의 처리 기능을 부가하여 표현의 영역을 확장, 개선하여, 전문가시스템의 추론 엔진을 적용하는 근사적 유사 추론기법을 분석한다. 그리고 규칙의 조건부와 이에 대응하는 사실간의 유사도를 구하여 이들 규칙의 결론부에 반영하여 결론을 유도하는 근사적 유사 추론기법을 제안한다. 또한 이와 같은 이론적인 연구를 바탕으로 자연언어의 많은 부분을 차지하고 있는 퍼지 개념을 지원하는 당뇨병(의료)진단용 전문가시스템을 설계, 구현하여 기존의 불확실성 관리방안의 단점을 개선하고자 한다.

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Design and Implementation of A Web Based Medical Image System for Telemedicine (원격진료를 위한 인터넷 기반의 의료영상시스템 설계 및 구현)

  • Lee, Su-Jin;Kim, Moon-Hae
    • Proceedings of the Korea Information Processing Society Conference
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    • 2002.11a
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    • pp.813-816
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    • 2002
  • 컴퓨터 보급의 급속한 발전과 멀티미디어의 등장으로 기존의 텍스트와 이미지, 음성, 오디오, 동영상 등의 정보를 디지털화하고, 컴퓨터를 이용하여 저장, 처리, 전송하게 되면서 의료 분야에서도 상당한 업무의 변화를 요구하게 되었다. 의료 분야에서의 이러한 급격한 개방과 더불어 초고속 정보 통신의 발달은 원격진료라는 또 다른 요구를 대두시키고 있다. 이를 위해서는, 멀티미디어 기술, 대용량의 정보를 저장하는 데이터베이스 기술, 초속의 광 대역 기술 등을 통합하여 종합적인 멀티미디어 의료 정보 시스템을 구축하는 것이 시급하다. 이러한 이유들로 본 논문에서는 병원/의원의 의료진들로 하여금 의료영상이나 자료를 상호 전송하여 환자의 진료 또는 검진결과를 확인하고 전문가의 조언 등을 구하는 원격 진료용 의료영상 시스템의 요구사항을 분석, 설계하고 구현하였다. 본 시스템은 클라이언트/서버 구조로써 영상 획득 및 출력, 의료영상 국제 표준 포맷인 DICOM 포맷으로의 영상 저장, MCA(Multi Channel Analyzer), ROI(Region Of Interest) 등의 영상 분석, 필터링 및 영상 확대/축소/회전 등의 각종 영상 처리의 주요 기능을 갖으며, 사용자가 편리하고 쉽게 사용할 수 있도록 아이콘(icon) 중심의 직관적인 인터페이스를 갖는다.

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A Study on the Practice Model for Practical Education for Health and Medical Information Management (보건의료정보관리 실습교육을 위한 실습모델 연구)

  • Choi, Joon-Young
    • Journal of the Health Care and Life Science
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    • v.8 no.2
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    • pp.83-93
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    • 2020
  • In this study, a practical model for health information management education using the EMR education system at universities for nurturing health care information managers was studied. Currently, there is no practical training course for health care information management in the standards for evaluation and certification of health care information management education introduced to strengthen the job competency of health care information managers. Accordingly, the program was constructed so that the practice program suggested as an educational environment in the Health and Medical Information Management Education Evaluation and Certification Manual can be practiced in the EMR education system. In addition, a practical model that can be performed according to the on-site practice guidelines for health and medical information management for each program was studied. Using the health care information management education EMR system, master data management, patient registration, doctor prescription, medical cost calculation, health insurance claim management, form management, discharge registration, cancer registration, unrecorded management, health care data management, health care statistics, A practice model was studied so that practice on information protection/security management can be performed. It will be possible to play a role as a health care information management expert by raising the quality level of health care information management education through systematic and standardized health care information management practice courses at universities. Accordingly, it is necessary to cultivate health care information management experts who develop and manage medical services based on medical data analysis through practical training of health care information managers.

Comparative Analysis of International and Domestic Safety Assessment Criteria for the Powered-Scooter and the Electric-Wheelchair (전동휠체어 및 의료용스쿠터의 국내·외 안전성 평가기준 비교 분석 연구)

  • Jun, Sung Chul;Seo, Jeong Hee;Lim, Hee Chul;Lee, Chang Hyung;Shin, Young Il;Jung, Duk Young
    • 재활복지
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    • v.16 no.3
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    • pp.421-437
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    • 2012
  • The goal of this study is to provide the basic information for improvement of domestic standards on the powered scooter and the electric wheelchair considering using environments in the nation. The international standards and domestic standards have been analyzed and compared, in order to propose improved domestic standards. Based on the research, the items and standards for general and functional recommendations, electric features, and other suggestions have been reexamined so that the improvements on test item and standards have been identified, corrected, and summarized including max. speed, brake system, lights and so on. We have been preparing the reference data for the improvement of standards on the powered scooter and the electric wheelchair through the comparison & analysis on the international and domestic standards.

Improving Constructability for Partnering in Large Hospital Construction Projects (대형병원 프로젝트의 시공성 증대를 위한 파트너링 모델 구축)

  • Kim Sang-Il
    • Korean Journal of Construction Engineering and Management
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    • v.5 no.3 s.19
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    • pp.153-165
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    • 2004
  • Most engineering tasks require collaboration between many users in major hospital construction projects that have many reconstructions. Loss and change orders occurred in factors such as information exchange, misunderstandings, advanced technology in hospital projects. Moreover, changes in context, costs, requirements, deadlines, etc. require negotiation of issues that may modify important project characteristics. The objective of this paper is to reduce reconstruction for the pre-construction process of hospital projects, reconstruction factors were analyzed in recent hospital construction project the system was established in order to solve reconstruction factors, and this system was validated through applying to the real project. Therefore it is a major challenge to make high level of communication and to have mutual understanding.

A Customized Cancer Radiation Treatment Planning Simulation (ccRTPs) System via Web and Network (웹과 네트워크 기술을 이용한 환자 맞춤식 암치료 계획 시뮬레이션 시스템)

  • Khm, O-Yeon
    • Progress in Medical Physics
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    • v.17 no.3
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    • pp.144-152
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    • 2006
  • The telemedicine using independent client-server system via networks can provide high quality normalized services to many hospitals, specifically to local/rural area hospitals. This will eventually lead to a decreased medical cost because the centralized institute can handle big computer hardware systems and complicated software systems efficiently and economically, Customized cancer radiation treatment planning for each patient Is very useful for both a patient and a doctor because it makes possible for the most effective treatment with the least possible dose to patient. Radiation planners know that too small a dose to the tumor can result in recurrence of the cancer, while too large a dose to healthy tissue can cause complications or even death. The best solution is to build an accurate planning simulation system to provide better treatment strategies based on each patient's computerized tomography (CT) image. We are developing a web-based and a network-based customized cancer radiation therapy simulation system consisting of four Important computer codes; a CT managing code for preparing the patients target data from their CT image files, a parallel Monte Carlo high-energy beam code (PMCEPT code) for calculating doses against the target generated from the patient CT image, a parallel linear programming code for optimizing the treatment plan, and scientific data visualization code for efficient pre/post evaluation of the results. The whole softwares will run on a high performance Beowulf PC cluster of about 100-200 CPUs. Efficient management of the hardware and software systems is not an easy task for a hospital. Therefore, we integrated our system into the client-sewer system via network or web and provide high quality normalized services to many hospitals. Seamless communication with doctors is maintained via messenger function of the server-client system.

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A Study on 3D Surface Reconstruction for the Breast of Human Body (인체 가슴 부위의 구조물의 3D 표면 모형 재구성)

  • Lee, Sang-Tae;Jeon, Hyun-Jin;Kim, Ki-Tai;Choi, Ki-Seok;Joo, Won-Kyun
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 2009.11a
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    • pp.99-102
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    • 2009
  • 본 연구에서는 실제 기증받은 시체를 이용하여 인체의 각 구조물을 실제 모습 그대로 3D 이미지화하는 과정에 대해 알아보았다. 인체의 구조물을 3D 로 이미지화하는 과정은 다음과 같다. 먼저 시체를 0.2mm 간격으로 절단하여 절단면의 사진을 찍은 후, 각 절단면의 사진에서 각각의 구조물을 구역화하여 색칠을 한 후, 구역화한 이미지에서 외곽선을 추출하여 벡터 이미지를 만든다. 이 외곽선을 1mm 간격으로 쌓아 올린 후 그 표면을 재구성하여 3D 이미지로 변환하는 과정으로 진행되었다. 3D 이미지의 제작은 가슴 부위에 한정하여 이루어졌다. 인체의 해부학적인 모형을 3D 이미지로 시각화함으로써 얻는 효과는 일반인을 대상으로 인체의 내부에 대한 시각적인 호기심을 충족시켜주고 의학 상식을 넓히는데 도움을 줄 수 있을 것 이다. 또한 의대생들을 비롯한 의학 전문가들에게는 생생한 해부학 강의용으로도 활용 가능하다. 향후 Haptic 시스템을 이용한 의료 실습 어플리케이션과 접목될 수도 있을것이고, fMRI 데이터를 비롯한 타 데이터와의 융합을 통해 시각화하여 서비스 할 수도 있다. 이처럼 인체의 3D 모형은 의료분야에서 광범위하게 활용될 수 있는 데이터로써 그 가치를 지닐 것이다.

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Construction of a Standard Dataset for Liver Tumors for Testing the Performance and Safety of Artificial Intelligence-Based Clinical Decision Support Systems (인공지능 기반 임상의학 결정 지원 시스템 의료기기의 성능 및 안전성 검증을 위한 간 종양 표준 데이터셋 구축)

  • Seung-seob Kim;Dong Ho Lee;Min Woo Lee;So Yeon Kim;Jaeseung Shin;Jin‑Young Choi;Byoung Wook Choi
    • Journal of the Korean Society of Radiology
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    • v.82 no.5
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    • pp.1196-1206
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    • 2021
  • Purpose To construct a standard dataset of contrast-enhanced CT images of liver tumors to test the performance and safety of artificial intelligence (AI)-based algorithms for clinical decision support systems (CDSSs). Materials and Methods A consensus group of medical experts in gastrointestinal radiology from four national tertiary institutions discussed the conditions to be included in a standard dataset. Seventy-five cases of hepatocellular carcinoma, 75 cases of metastasis, and 30-50 cases of benign lesions were retrieved from each institution, and the final dataset consisted of 300 cases of hepatocellular carcinoma, 300 cases of metastasis, and 183 cases of benign lesions. Only pathologically confirmed cases of hepatocellular carcinomas and metastases were enrolled. The medical experts retrieved the medical records of the patients and manually labeled the CT images. The CT images were saved as Digital Imaging and Communications in Medicine (DICOM) files. Results The medical experts in gastrointestinal radiology constructed the standard dataset of contrast-enhanced CT images for 783 cases of liver tumors. The performance and safety of the AI algorithm can be evaluated by calculating the sensitivity and specificity for detecting and characterizing the lesions. Conclusion The constructed standard dataset can be utilized for evaluating the machine-learning-based AI algorithm for CDSS.

Development of Medical Image Processing Algorithm for Clinical Decision Support System Applicable to Patients with Cardiopulmonary Function (심폐기능 재활환자용 임상의사결정지원시스템을 위한 의료영상 처리 기술 개발)

  • Park, H.J.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.1
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    • pp.61-66
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    • 2015
  • Chest X-ray images is the most common and widely used in clinical findings for a wide range of anatomical information about the prognosis of the disease in patients with cardiopulmonary rehabilitation. Many analysis algorithm was developed by a number of studies regarding the region segmentation and image analysis, there are specific differences due to the complexity and diversity of the image. In this paper, a diagnosis support system of the chest X-ray image based on image processing and analysis methods to detect the cardiopulmonary disease. The threshold value and morphological method was applied to segment the pulmonary region in a chest X-ray image. Anatomical measurements and texture analysis was performed on the segmented regions. The effectiveness of the proposed method is shown through experiments and comparison with diagnosis results by clinical experts to show that the proposed method can be used for decision support system.

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