• Title/Summary/Keyword: 진단 지연

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Comparison of Thallium-201 Scan and Tc-99m Sestamibi Scan in the Differential Diagnosis of Breast Mass (유방암 진단에 있어서 탈륨스캔과 Tc-99m MIBI 스캔의 비교)

  • Cho, Ihn-Ho;Won, Kyu-Jang;Lee, Hyung-Woo;Lee, Soo-Jung
    • The Korean Journal of Nuclear Medicine
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    • v.33 no.1
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    • pp.76-83
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    • 1999
  • Purpose: We performed this study to compare T1-201 and Tc-99m MIBI scans for the differentiation of malignant from benign breast mass. Materials and Methods: Thirty-eight female patients underwent T1-201 breast scan and thirty-two of them also underwent Tc-99m MIBI scan of the breast. After intravenous injection of 74-111 MBq of T1-201, early (10 minutes) and delayed (3 hours) images were obtained. Then, 555-740 MBq of Tc-99m MIBI was injected and images after 30 minutes were obtained. We compared T1-201 and Tc-99m MIBI scans with pathologic results. Results: Twenty-three patients were confirmed to have infiltrating duct carcinoma and fifteen patients to have benign breast mass by excisonal biopsy. The sensitivity of early and delayed T1-201 scan and Tc-99m MIBI scan in the detection of malignant breast lesion were 100% (23/23), 82% (18/22), and 90% (18120), respectively. The sensitivity of early T1-201 scan was significantly higher than that of delayed T1-201 scan (p<0.05). The specificity of early and delayed T1-201 scan and Tc-99m MIBI scan were 73% (l1/15), 73% (l1/15) and 83% (10/12), respectively (p: not significant). Three patients out of nine with fibroadenoma and one patient with atypical duct hyperplasia were false positive in both early and delayed T1-201 scans. The size of fibroadenoma with false positive in early and delayed T1-201 scan (4 cases) was larger than that of 11 fibroadenoma with true negative scan (p<0.01). Metastatic axillary lymph node involvement was present in fifteen patients. The sensitivity to detect metastatic nodes was 38% (5/13) for early T1-201 images, 15% (2/13) for delayed T1-201 images, 58% (7/12) for Tc-99m MIBI planar images and 67% (4/6) for Tc-99m MIBI SPECT. The sensitivity of Tc-99m MIBI planar or SPECT was significantly higher than that of delayed T1-201 images (p<0.05). Conclusion: Early T1-201 and Tc-99m MIBI scan are useful noninvasive methods to differentiate malignant from benign mass of breast Tc-99m MIBI scan was sensitive in detecting axillary lymph node metastasis in patients with breast cancer.

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초음파 영상 진단장치

  • 이민화
    • 전기의세계
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    • v.38 no.8
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    • pp.9-18
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    • 1989
  • 초음파 CT는 시기적으로 가장 빨리 X-ray CT와 함께 연구되어 왔으나 인체내의 투과성, 난반사, 긴파장등에 의해 실용화가 아직은 요원하다. 초음파 CT는 크게 Time of flight (TOF)CT, Attenuation CT, Reflection CT, Diffraction CT등으로 나눌수 있다. 초기에는 TOF CT, Attenuation CT의 연구가 주로 이루어 졌으나 투과의 문제로 인하여 실제로는 유방의 진단에 국한되고 있다. Reflection CT는 초음파의 특성상 실용화가 가장 쉬우나 Transducer 크기등의 문제로 연구가 지연되고 있다. Diffraction CT는 모든 초음파 CT의 특성을 갖고 있으며 현재에 실용화는 요원한 실정이다. KAIST에서는 TOF CT와 Reflection CT의 특징을 결합한 초음파 CT를 연구 발표한 바 있다. 3-D Image은 지금까지의 초음파진단장치에서 표시하는 2-D Image가 갖고 있는 제반의 문제들을 극복하기 위해 현재 KAIST에서 활발히 연구가 진행중에 있다.

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해상교통안전진단제도의 안정적 운영을 위한 항만기본계획의 제도적 고찰

  • Kim, Bu-Yeong;Jo, Ik-Sun;Jo, Gyeong-Min
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2011.11a
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    • pp.144-146
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    • 2011
  • 해상교통안전진단제도가 2009년 도입 이후 50여건의 해상교통안전진단이 종료되었거나 진행 중에 있다. 항만기본계획에 따른 부두건설이 진단실적 중 50%를 차지하고 있어, 항만기본계획에 따른 부두건설 사업은 해상교통안전진단제도에 절대적이다. 하지만, 해상교통안전성 검토가 미비한 항만기본계획은 부산신항의 유류기지 건설, 울릉도 사동항 부두건설 등의 사업지연 및 경제성 미확보 등의 문제로 나타나게 되었다. 따라서, 항만기본계획의 수립절차 및 법적절차를 분석을 통하여, 해상교통안전진단제도의 안정적 운용을 위한 제도적 방안을 도출하고자 한다.

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Design and Pattern Generation for the Detection of Delay Faults In IEEE 1149.1 Boundary Scan (지연고장 점검을 위한 IEEE 1149.1 Boundary Scan 설계 및 패턴 생성)

  • 김태형;박성주
    • Proceedings of the Korean Information Science Society Conference
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    • 1998.10c
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    • pp.662-664
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    • 1998
  • IEEE 1149.1 바운다리스캔은 보드 수준에서 고장점검 및 진단을 위한 테스트 설계기술이다. 그러나, 바운다리스캔 제어기의 특성상 테스트 패턴의 주입에서 관측까지 2.5 TCK가 소요되므로, 연결선상의 지연고장을 점검할 수 없다. 본 논문에서는 Update_DR 신호를 변경하여, 테스트 패턴 주입에서 관측까지 1 TCK가 소요되게 함으로써, 지연고장 점검을 가능하게 하는 기술을 소개한다. 나아가서, 정적인 고장점검을 위한 테스트 패턴을 개선해 지연고장 점검까지 가능하게 하는, N개의 net에 대한 2log(N+2)의 새로운 테스트패턴도 제안한다. 설계와 시뮬레이션을 통해 지연고장 점검이 가능함을 확인하였다.

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The value of Dedicated Tc-99m MIBI Scintimammography in the Evaluation of Patients with Palpable Breast Lesions in Comparison with Mammography: Preliminary Result (만져지는 유방 병소를 평가하는데 있어 Tc-99m MIBI 유방스캔과 유방촬영 술의 비교: 예비 결과)

  • Cho, Arthur;Cho, Ho-Jin;Yun, Mi-Jin;Park, Byeong-Woo;Kim, Min-Jung;Kim, Eun-Kyung;Kang, Won-Jun;Lee, Jong-Doo
    • Nuclear Medicine and Molecular Imaging
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    • v.43 no.1
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    • pp.48-54
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    • 2009
  • Purpose: There are few studies evaluating the usefulness of dedicated high-resolution scintimammography and no studies using delayed washout with this dedicated high resolution scintimammography for the evaluation of breast lesions. We underwent this study to evaluate the clinical usefulness of Tc-99m MIBI in evaluating patients with palpable breast lesions using dedicated high-resolution scintimammography. Materials and Methods: This study included 19 patients with 23 palpable breast lesions who underwent mammography. Tc-99m MIBI was taken to further characterize these lesions. Scintimammography images were acquired with standard craniocaudal and mediolateral oblique views and delayed images were additionally taken. Final conclusions were based on histopathology, either by biopsy or mastectomy results. Results: Eighteen lesions were malignant and five were benign. Mammography was indeterminate for thirteen lesions, nine of those were malignant. Mammography also categorized one lesion as benign in a dense breast, but scintimammography and pathology results showed malignancy. Of the five benign lesions, two were visible on scintimammography, but delayed images showed washout. Conclusion: Based on our preliminary results, dedicated high resolution scintimammography seems to be very useful in characterizing palpable lesions that were indeterminate or negative on mammography.

Initial Symptoms of Malignant Bone Tumors (악성 골 종양의 초기 증상)

  • Oh, Joo-Han;Lee, Sang-Hoon;Suh, Sung-Wook;Lee, Ho-Kyoo;Kim, Han-Soo
    • The Journal of the Korean bone and joint tumor society
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    • v.9 no.1
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    • pp.18-23
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    • 2003
  • Purpose: Delay in the diagnosis of the primary malignant bone tumors may critically influence the chance of the patients' survival and the limb sparing, but the primary malignant bone tumors are so rare that most doctors have little experience in these challenging diseases. The purpose of the current study is to examine the initial symptoms of osteosarcoma and chondrosarcoma, and to shorten the delay of diagnosis. Materials and Methods: The data was based on the questionnaires and the medical records from 139 patients whose histological diagnoses were confirmed in the authors' institution. There were 108 patients of osteosarcoma and 31 patients of chondrosarcoma. Eighty-six were male and fifty-three were female. The mean age of the patients was 20.2 years in osteosarcoma, and 42.4 years in chondrosarcoma. Results: The most common symptom that the patient consult the doctor was pain (93.5% of osteosarcoma patients and 61.3% of chondrosarcoma patients). Among them, 76.2% of osteosarcoma and 57.8% of chondrosarcoma patients complained the night pain. The history of trauma was evident in 48.5% of osteosarcoma patients and one patient of chondrosarcoma. At the first medical visit, the malignant bone tumor was suspected in 61.1% of osteosarcoma and 64.5% of chondrosarcoma patients. Fracture was the most common misdiagnosis in osteosarcoma (16.7%), and the osteomyelitis in chondrosarcoma (19.4%). Initial radiographic examination and the adult age were shown to increase the rate of correct diagnosis of both diseases (p<0.05). Patient's delay and doctor's delay were significantly longer in chondrosarcoma patients than in osteosarcoma. Initial radiography led to shorten the doctor's delay, and the axial location of the tumor lengthened the doctor's delay. Trauma and the young age were believed to shorten the patient's delay. Conclusion: Careful history taking, including the night pain and trauma, would be mandatory for the early diagnosis of the primary malignant bone tumors, and the initial radiographic examination and periodic follow-up can increase the rate of correct diagnosis.

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Setting Time Evaluation on Cement Paste with Retarder Using Non-Destructive Measurements (비파괴 측정법을 이용한 지연제 첨가 시멘트 페이스트의 응결 평가)

  • Ahn, Yu-Rhee;Jun, Yu-Bin;Yim, Hong Jae
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.26 no.4
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    • pp.48-56
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    • 2022
  • Controlling the setting time of cementitious materials is one of the most important factors in securing early-age performance of concrete structures. Recently, the use of retarding admixtures, which enable the inhibition of some hydration products to control the securing time due to average temperature rise is suggested. Although various non-destructive evaluation methods have been proposed to evaluate cement hydration and hardening of cement-based materials to overcome the limitations of Vicat needle test, experimental research is still required to use the non-destructive evaluation method with added retarding admixtures. In this study, measurements of electrical resistivity and ultrasonic wave velocity in early-aged cement pastes were performed according to the addition of retarding admixture(tartaric acid). The setting time of the cement pastes was evaluated by obtained rising time of the both non-destructive measurements. As a result, the possibility of evaluating the setting delay in cement pastes was confirmed through comparative analysis with the initial and final setting times by Vicat test. In addition, X-ray diffraction results at the rising time of electrical resistivity showed a key hydration product affecting the setting delay.

Delayed Resolution of Cervical Lesion of Ectopic pregnancy Treated by Intra-amnionic Methotrexate (MTX) Instillation: A Case Report (양막강내 Methotrexate(MTX) 투여로 치유된 자궁경관 임신에서 자궁경부 병변의 지연 관해: 증례 보고)

  • Han, Kuk-Sun;Jang, Tae-Kee;Lee, Kang-Hyok;Koh, Min-Whan;Lee, Tae-Hyung
    • Journal of Yeungnam Medical Science
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    • v.16 no.1
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    • pp.131-136
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    • 1999
  • 자궁경관 임신은 최근에 인공유산의 증가와 인공 보조 생식술(assisted reproductive technology) 등에 의하여 증가되는 양상을 보인다. 과거에는 자궁경관 임신은 대량의 무통성 질출혈로 진단을 내리고 치료 방법은 천자궁적출술이 유일한 수단이었으나, 지금은 질식 초음파의 개발로 자궁경관 임신을 조기에 진단하고 자궁 보존적 방법으로 치료하여 차후 임신을 기대할 수 있게 되었다. 그 치료 방법 중 하나로 Methotrexate(MTX)를 주사하여 성공적으로 치유된 많은 보고들이 있었다. 본 저자들은 임신 8주에 자궁경관 임신으로 진단된 환자에서 전신적 MTX 투여와 복식 초음파 관찰 하에 양막강내 MTX 투여 병합 요법으로 치료한 1례를 보고하고 치료과정에서 자궁경부 병변의 지연 관해에 대해서 문헌 고찰과 함께 보고하는 바이다.

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A Study on Service Quality Diagnosis Techniques for LTE/5G Network Backhaul (LTE/5G 네트워크 백홀(Backhaul)의 서비스 품질진단 기법에 관한 연구)

  • Ji-Hyun Yoo
    • Journal of IKEEE
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    • v.27 no.4
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    • pp.617-623
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    • 2023
  • With the evolution of communication networks, there is a growing demand for stable high-speed data connections to support services relying on large-capacity data. The increasing volume of packet data aggregated from user devices underscores the significance of quality diagnostics for the backhaul network, an intermediate link transmitting data to the core network. This paper conducts empirical research on techniques to diagnose issues within the backhaul network through practical case studies, through diagnosing various factors such as circuit bandwidth, speed disparities within switches, network segment-specific buffer sizes, routing policies, among other factors that could potentially cause RTT (Round Trip Time) delays and performance degradation.

Delayed Luminescence Characteristics of Human Hands (사람 손의 지연발광 특성)

  • Yang, Joon-Mo;Choi, Chun-Ho;Soh, Kwang-Sup;Lim, Woo-Taek;Lee, Han-Sang;Chae, Seung-Byung;Yoon, Se-Yeol;Lee, Kyung-Il;Shin, Eun-Seok;Choi, Sun-Mi
    • Korean Journal of Optics and Photonics
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    • v.17 no.1
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    • pp.81-88
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    • 2006
  • Delayed luminescence from human hands after illumination by light at different wavelength bands was studied. A delayed luminescence measurement system equipped with photomultiplier tube (PMT), fiber optics and automatic mechanical shutter system was developed. Three spectrum band-pass filters, fer which transmissions are on 350${\~}$450 nm, 450${\~}$550 nm and 550${\~}$650 nm, were used to select irradiation wavelength, and 150W metal-halide lamp was used as an illumination source. Six volunteers put their palms (dorsa) onto the measurement system, and after light illumination, delayed luminescence were measured for 10 minutes. The results show that delayed luminescence after shorter wavelength illumination was higher than that a(ter longer wavelength one. These results indicate the existence of accepters in human skin which can be excited at short wavelengths. Furthermore, each subjects showed different delayed luminescence curve patterns. Reactive oxygen species (ROS) are known to have important roles on delayed luminescence, and this research suggests that ROS concentration can be measured noninvasively with optical methods.