• Title/Summary/Keyword: Accuracy and Agreement of Diagnosis

Search Result 62, Processing Time 0.03 seconds

Overview of Flow Diagnosis in a Shock Tunnel

  • Kim, Ikhyun;Lee, Sungmin;Park, Gisu;Lee, Jong Kook
    • International Journal of Aeronautical and Space Sciences
    • /
    • v.18 no.3
    • /
    • pp.425-435
    • /
    • 2017
  • In this work, an overview of flow diagnosis in a shock tunnel is made by means of using established techniques that are easy to setup, economical to arrange, and simple to measure. One flow condition was considered having Mach number of 6 at the nozzle-exit, regarded as freestream. Measured aerothermodynamic data such as shock wave speed, wall static and total pressures, surface heat flux, and shock stand-off distance ahead of test model showed good agreement with calculation. This study shows an overall procedure of flow diagnosis in a shock tunnel in a single manuscript. Outcomes are thought to be useful in the field of education and also in a preliminary stage of high-speed vehicle design and tests, that need to be performed within a short time with decent accuracy.

Study on the Practical 3D Facial Diagnosis using Kinect Sensors (키넥트 센서를 이용한 실용적인 3차원 안면 진단기 연구)

  • Jang, Jun-Su;Do, Jun-Hyeong;Kim, Jang-Woong;Nam, Jiho
    • Journal of Physiology & Pathology in Korean Medicine
    • /
    • v.29 no.3
    • /
    • pp.218-222
    • /
    • 2015
  • Facial diagnosis based on quantitative facial features has been studied in many Korean medicine fields, especially in Sasang constitutional medicine. By the rapid growing of 3D measuring technology, generic and cheap 3D sensors, such as Microsoft Kinect, is popular in many research fields. In this study, the possibility of using Kinect in facial diagnosis is examined. We introduce the development of facial feature extraction system and verify its accuracy and repeatability of measurement. Furthermore, we compare Sasang constitution diagnosis results between DSLR-based system and the developed Kinect-based system. A Sasang constitution diagnosis algorithm applied in the experiment was previously developed by a huge database containing 2D facial images acquired by DSLR cameras. Interrater reliability analysis result shows almost perfect agreement (Kappa = 0.818) between the two systems. This means that Kinect can be utilized to the diagnosis algorithm, even though it was originally derived from 2D facial image data. We conclude that Kinect can be successfully applicable to practical facial diagnosis.

Pregnancy Diagnosis in Sows by Using an On-Farm Blood Progesterone Test

  • Wu, L.S.;Guo, I.C.;Lin, J.H.
    • Asian-Australasian Journal of Animal Sciences
    • /
    • v.10 no.6
    • /
    • pp.603-608
    • /
    • 1997
  • To improve animal production, a simple and accurate pregnancy diagnosis plays a very important role. Therefore, the purpose of this study was to develop an on-farm blood progesterone enzyme immunoassay (EIA) system for monitoring the early pregnancy in sows. Star tubes coated with mouse monoclonal anti-progesterone antibody were used for this proposed EIA system which was tested in field trials. The results could be obtained within 30 minutes either by spectrophotometry or the naked eye. Heparinized fresh blood samples collected from the ear vein of sows 17-22 days after breeding (day 0) were tested qualitatively to diagnose sows as pregnant or non-pregnant with high ( > 3 ng/ml) or low ($${{\leq_-}}3ng/ml$$) progesterone in the blood. To provided a double check data, plasma progesterone levels were also measured quantitatively by the same EIA system with some modification. Total agreement of diagnosis by the on-farm EIA kit and by farrowing or abortion from 128 tested sows was found to be 92.2% accuracy (93.1% on pregnant diagnosis and 83.3% on non-pregnant diagnosis). It was concluded that the on-farm EIA blood progesterone test is a very useful method for monitoring the early pregnancy status of sows.

The Value of Periapical Radiograph in the Diagnosis of Interproximal Caries (구내방사선사진의 인접면 치아우식 진단에 대한 유용성 평가)

  • Kim Young-Hee;Kang Byung-Cheol
    • Imaging Science in Dentistry
    • /
    • v.30 no.1
    • /
    • pp.49-54
    • /
    • 2000
  • Purpose : To compare the diagnostic performance of clinical and radiologic examination for the interproximal caries on intraoral periapical radiographs and to evaluate the value of periapical radiographs. Methods: One hundred seven dental patients were examined clinically, with a mouth mirror and an explorer, by a dentist at the department of oral medicine, and the presence or absence of interproximal caries lesion was recorded. The patients were prescribed one or more dental periapical radiographs. Radiographs were assessed for the presence of interproximal caries by three oral and maxillofacial radiologists independantly. Two thousand sixty interproximal surfaces were included in this study. The diagnostic accuracies of clinical and radiologic examinations for interproximal caries were calculated. To assess the degree of agreement between clinical and radiologic examinations, Cohen's coefficient of agreement was computed. Results: The specificity of clinical and radiologic examination was 0.991, 0.997 and the sensitivity was 0.279, 0.985 respectively. The diagnostic accuracy of radiologic examination was statistically significantly higher than that of clinical examination (P<0.05). Cohen's kappa value of clinical and radiologic examination was 0.335, 0.942 respectively. These results suggested that clinical examination show only fair agreement, whereas radiologic examination show perfect agreement. Conclusion: The diagnositic performance of the dental periapical radiographs on interproximal caries were higher than that of clinical examination, thus this study showed the validity of periapical radiographs for detecting interproximal caries lesion without bitewing radiograph.

  • PDF

Accuracy of the 2008 Simplified Criteria for the Diagnosis of Autoimmune Hepatitis in Children

  • Arcos-Machancoses, Jose Vicente;Busoms, Cristina Molera;Tatis, Ecaterina Julio;Bovo, Maria Victoria;Bernabeu, Jesus Quintero;Goni, Javier Juamperez;Martinez, Vanessa Crujeiras;Martin de Carpi, Javier
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • v.21 no.2
    • /
    • pp.118-126
    • /
    • 2018
  • Purpose: Classical criteria for diagnosis of autoimmune hepatitis (AIH) are intended as research tool and are difficult to apply at patient's bedside. We aimed to study the accuracy of simplified criteria and the concordance with the expert diagnosis based on the original criteria. Methods: A cohort of children under study for liver disorder was selected through consecutive sampling to obtain the prevalence of AIH within the group of differential diagnoses. AIH was defined, based on classical criteria, through committee review of medical reports. Validity indicators of the simplified criteria were obtained in an intention to diagnose approach. Optimal cut-off and the area under the receiver operating characteristic (ROC) curve were calculated. Results: Out of 212 cases reviewed, 47.2% were AIH. For the optimal cut-off (6 points), the simplified criteria showed a sensitivity of 72.0% and a specificity of 96.4%, with a 94.7% positive and a 79.4% negative predictive value. The area under the ROC curve was 94.3%. There was a good agreement in the pre-treatment concordance between the classical and the simplified criteria (kappa index, 0.775). Conclusion: Simplified criteria provide a moderate sensitivity for the diagnosis of AIH, but may help in indicating treatment in cases under suspicion with 6 or more points.

Convergence of the Image Evaluation by BI-RADS Classification in Accordance with Algorithms in DR Mammography (디지털 유방촬영술에서 BI-RADS의 구분에 따른 알고리즘별 영상의 융복합적 평가)

  • Lee, Mi-Hwa
    • Journal of Digital Convergence
    • /
    • v.13 no.9
    • /
    • pp.489-495
    • /
    • 2015
  • Image availability evaluated by the degree of agreement and sensitive using the process improve visualization according to the Algorithm modification in Image Post-Processing. Reliability measured by the Breast Imaging Reporting and Data System. 172 patients visit same period divided by BI-RADS, category five stages, and contents of breast parenchyma into Calcification, Nodule and Mass. Evaluated the TE/PV image reliability, visualization sensitive, agreement of diagnosis. Convergence analysis was an in various fields. According to the result of this research, PV has higher sensitive and accuracy about lesions than TE visual and there is a difference insensitive by contents of breast parenchyma. Therefore, practical use of Algorithm Modification(Tissue Equalization: TE, Premium View: PV) is expected to improve more accurate, useful diagnosis, which has not been easy until now.

CLINICAL STUDY OF POSITRON EMISSION TOMOGRAPHY WITH $[^{18}F]$-FLUORODEOXYGLUCOSE IN MAXILLOFACIAL TUMOR DIAGNOSIS (구강 악안면 영역의 암종 진단에 있어서 $[^{18}F]$-Fluorodeoxyglucose를 이용한 양전자방출 단층촬영의 임상적 연구)

  • Kim, Jae-Hwan;Kim, Kyung-Wook;Kim, Yong-Kack
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.26 no.5
    • /
    • pp.462-469
    • /
    • 2000
  • Positron Emission Tomography(PET) is a new diagnostic method that can create functional images of the distribution of positron emitting radionuclides, which when administered intravenously in the body, makes possible anatomical and functional analysis by quantity of biochemical and physiological process. After genetic and biochemical changes in initial stage, malignant tumor undergoes functional changes before undergoing anatomical changes. So, early diagnosis of malignant tumors by functional analysis with PET can be achieved, replacing traditional anatomical analysis, such as computed tomography(CT) and magnetic resonance image(MRI), etc. Similarly, PET can identify malignant tumor without confusion with scar and fibrosis in follow up check. In the Korea Cancer Center Hospital(KCCH) from October 1997 to September 1999, clinical study was performed in 79 cases that underwent 89 times PET evaluation with [18F]-Fluorodeoxyglucose for diagnosis of oral and maxillofacial tumors, and the data was analysed by Bayesian $2{\times}2$ Classification Table. The results were as follows : Evaluation for initial diagnosis with FDG-PET (P<0.005) 1. Agreement rate or accuracy rate is 88.9%. 2. Sensitivity is 95.2%, and specificity 66.7%. 3. Positive predictive rate is 90.9%, and negative predictive rate 80.0%. 4. In consideration of tumor stage, diagnostic rate in less than stage II was 90% and in greater than stage III 100%. 5. In consideration of tumor size, diagnostic rate in less than T2 was 92.3% and in greater than T3 100%. After primary treatment, evaluation for follow up check with FDG-PET (P < 0.001) 1. Agreement rate or accuracy rate is 85.4%. 2. Sensitivity is 87.5%, and specificity 82.4%. 3. Positive predictive rate is 87.5%, and negative predictive rate 82.4%. 4. In 24 recurred cases, 6 had distant metastasis, and 5 of them were diagnosed with FDG-PET, resulting in diagnostic rate of FDG-PET of 83.3%. From the above results, Positron Emission Tomography with [18F]- Fluorodeoxyglucose appears to be more sensitive and accurate for detecting the presence of oral and maxillofacial tumors, and has various clinical applications such as early diagnosis of tumor in initial and follow up check and detection of distant metastasis.

  • PDF

The effect of radiographic imaging modalities and the observer's experience on postoperative maxillary cyst assessment

  • Gang, Tae-In;Huh, Kyung-Hoe;Yi, Won-Jin;Lee, Sam-Sun;Heo, Min-Suk;Choi, Soon-Chul
    • Imaging Science in Dentistry
    • /
    • v.44 no.4
    • /
    • pp.301-305
    • /
    • 2014
  • Purpose: The purpose of this study was to compare the accuracy of postoperative maxillary cyst (POMC) diagnosis by panoramic radiographs versus computed tomography (CT) and by oral and maxillofacial radiologists versus non-specialists. Materials and Methods: Sixty-five maxillary sinuses with POMCs and 63 without any lesion were assessed using panoramic radiographs and CT images by five oral and maxillofacial radiologists and five non-specialists on a five-point scale. The areas under receiver operating characteristic (ROC) curves were analyzed to determine the differences in diagnostic accuracy between the two imaging modalities and between the two groups of observers. The intra-observer agreement was determined, too. Results: The diagnostic accuracy of CT images was higher than that of panoramic radiographs in both groups of observers (p<0.05). The diagnostic accuracy of oral and maxillofacial radiologists for each method was higher than that of non-specialists (p<0.05). Conclusion: The use of CT improves the diagnosis of POMC, and radiological training and experience leads to more accurate evaluation.

Dental students' ability to detect maxillary sinus abnormalities: A comparison between panoramic radiography and cone-beam computed tomography

  • Rosado, Lucas de Paula Lopes;Barbosa, Izabele Sales;de Aquino, Sibele Nascimento;Junqueira, Rafael Binato;Verner, Francielle Silvestre
    • Imaging Science in Dentistry
    • /
    • v.49 no.3
    • /
    • pp.191-199
    • /
    • 2019
  • Purpose: To compare the diagnostic ability of undergraduate dental students to detect maxillary sinus abnormalities in panoramic radiographs(PR) and cone-beam computed tomography (CBCT). Materials and Methods: This was a retrospective study based on the evaluation of PR and CBCT images. A pilot study was conducted to determine the number of students eligible to participate in the study. The images were evaluated by 2 students, and 280 maxillary sinuses were assessed using the following categories: normal, mucosal thickening, sinus polyp, antral pseudocyst, nonspecific opacification, periostitis, antrolith, and antrolith associated with mucosal thickening. The reference standard was established by the consensus of 2 oral radiologists based on the CBCT images. The kappa test, receiver operating characteristic curves, and 1-way analysis of variance with the Tukey-Kramer post-hoc test were employed. Results: Intraobserver and interobserver reliability showed agreement ranging from substantial (0.809) to almost perfect (0.922). The agreement between the students' evaluations and the reference standard was reasonable (0.258) for PR and substantial(0.692) for CBCT. Comparisons of values of sensitivity, specificity, and accuracy showed that CBCT was significantly better(P<0.05). Conclusion: CBCT was better than PR for the detection of maxillary sinus abnormalities by dental students. However, CBCT should only be requested after a careful analysis of PR by students and more experienced professionals.

Clinical Values of Cold-Heat Pattern Diagnosis by the Nasal Endoscopy for Patients with Cough (기침에 대한 비내시경을 이용한 한열변증(寒熱辨證)의 임상적 가치평가)

  • Lee, Hee-Beom;Park, Eui-Keun;Baek, Hyun-Jung;Lee, Beom-Joon;Jung, Sung-Ki;Jung, Hee-Jae
    • The Journal of Internal Korean Medicine
    • /
    • v.35 no.3
    • /
    • pp.274-287
    • /
    • 2014
  • Objectives: This study was aimed to figure out an agreement between the diagnosis of nasal endoscopy and a preexisting questionnaire focusing on Cold-Heat pattern. Methods: 52 patients with cough who met the criteria filled out a pattern questionnaire and the examiner looked at their nasal cavities through nasal endoscopy. According to the checked questionnaire results, the subjects were identified by 6 patterns. After examining subject's mucous membrane of oropharynx and nasal cavity through nasal endoscopy, we classified each to the Cold or Heat group. Correlation between questionnaire and nasal endoscopy results was analyzed. Results: In diagnosing Cold-Heat, there was no significant difference by McNemar test (p=0.227) between nasal endoscopy and the questionnaire, and the two methods agreed moderately (${\kappa}=0.428$). The color of mucous membrane of oropharynx and the Cold-Heat pattern on questionnaire agreed slightly (${\kappa}=0.133$). The color of mucous membrane of nasal cavity and the Cold-Heat pattern on questionnaire agreed fairly (${\kappa}=0.384$). In the patients with cough related to upper respiratory tract, they got higher diagnosis accuracy than the patients with cough related to lower respiratory tract did. Similarly, external cough patients got higher diagnosis accuracy than internal cough patients did. Conclusions: To identify Cold or Heat, examining oropharynx and nasal cavity using nasal endoscopy is a meaningful method in patients with cough, showing that two diagnosis methods which use nasal endoscopy and questionnaire agreed moderately. Especially, it is more useful diagnosing patients with cough related to the upper respiratory tract than diagnosing the patients with cough related to the lower respiratory tract.