• 제목/요약/키워드: Automated Diagnosis

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ZAP-70 Protein Expression in B-cell Chronic Lymphoid Leukemia: a Single Center Experience from Pakistan

  • Zeeshan, Rozina;Irfan, Syed Mohammed;Sultan, Sadia;Bhimani, Sanjana
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권4호
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    • pp.1587-1590
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    • 2015
  • Background: Chronic lymphoid leukemia (CLL) is the most frequent type of adult leukemia. The Rai and Binet staging systems have been well recognized as standards for assessing the treatment requirements and overall survival in CLL patients. However, there is a need to seek newer prognostic markers to identify stable or progressive forms of CLL that will facilitate risk-adapted treatment strategies. Currently a molecular biomarker ZAP-70 has attracted interest as providing prognostic information in CLL patients. Objective: To determine the frequency of ZAP-70 positivity in B-CLL patients at disease presentation. Materials and Methods: From January 2011 to September 2014, 89 patients were diagnosed to have chronic lymphoid leukemia. Complete blood count was done on an automated analyzer (Cell Dyne, Abott Architect, USA), while immunophenotyping was conducted for each patient to establish the diagnosis of the disease. ZAP-70 expression was evaluated by flow cytometry. Data were compiled and analyzed by SPSS version 21. Results: Out of the total of 89 B-CLL patients, 62 (69.7%) were male and 27 (30.3%) were females with a male to female ratio of 2:1. The mean age was $57.5{\pm}12.1years$. The frequency of ZAP-70 positivity in our B-CLL patients was found to be 13.5%. ZAP-70 positivity was significantly correlated with stage III disease and high absolute lymphocytic count (P<0.05). No correlation of ZAP-70 could be established with age and gender (p>0.05). Conclusions: The frequency of ZAP-70 in our patients appears low. It is approximately half that in international data. We would recommend to screen all the newly diagnosed patients with CLL for ZAP-70 protein expression for risk stratification, family counseling and to predict overall survival.

Establishment for Improving Productivity of Cattle by Fecal Steroid and Milk Urea Nitrogen Analysis - I. Development of Enzyme-linked Immunosorbent Assay for Progesterone and Milk Urea Nitrogen Analysis in Cattle

  • Chung-Boo Kang;Woo-Song Ha;Ji-In Kwon;Young-Sang Yu;Chul-Ho Kim;Soo-Dong Kwak
    • 대한의생명과학회지
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    • 제8권4호
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    • pp.235-244
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    • 2002
  • This study was carried out to determine the blood and milk progesterone by enzyme-linked immunosorbent assay (ELISA), and milk urea nitrogen (MUN) in cows. MUN and protein concentration were determined using automated infared procedures. The optimum conditions of ELISA system was investigated including the first and second antibody titres, bound percent, and enzyme conjugate and also the factors on MUN and protein concentration by sampling procedures and addition of preservatives. Progesterone antibodies did not react to pregnenlone, testosterone, estrone, estradiol-l7$\beta$, aldosterone, cortisol, corticosterone and 11$\alpha$-dehydroxycortisone (DOC), but reacted with only progesterone. The intra and inter-assay coefficient of variation 4.5%, 6.1~9.4% when used of bovine serum. The morning, MUN concentration (17.6$\pm$2.8 mg/100 ml) in the 13 herds was similar to that of evening MUN concentration of the lactating cows from the same herd. A significant relationship between morning and evening milk samples of upper parameters was found r=0.93. Difference in MUN concentration with sampling procedures and using of preservatives were investigated.

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초음파 B-모드 영상에서 FCN(fully convolutional network) 모델을 이용한 간 섬유화 단계 분류 알고리즘 (A Fully Convolutional Network Model for Classifying Liver Fibrosis Stages from Ultrasound B-mode Images)

  • 강성호;유선경;이정은;안치영
    • 대한의용생체공학회:의공학회지
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    • 제41권1호
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    • pp.48-54
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    • 2020
  • In this paper, we deal with a liver fibrosis classification problem using ultrasound B-mode images. Commonly representative methods for classifying the stages of liver fibrosis include liver biopsy and diagnosis based on ultrasound images. The overall liver shape and the smoothness and roughness of speckle pattern represented in ultrasound images are used for determining the fibrosis stages. Although the ultrasound image based classification is used frequently as an alternative or complementary method of the invasive biopsy, it also has the limitations that liver fibrosis stage decision depends on the image quality and the doctor's experience. With the rapid development of deep learning algorithms, several studies using deep learning methods have been carried out for automated liver fibrosis classification and showed superior performance of high accuracy. The performance of those deep learning methods depends closely on the amount of datasets. We propose an enhanced U-net architecture to maximize the classification accuracy with limited small amount of image datasets. U-net is well known as a neural network for fast and precise segmentation of medical images. We design it newly for the purpose of classifying liver fibrosis stages. In order to assess the performance of the proposed architecture, numerical experiments are conducted on a total of 118 ultrasound B-mode images acquired from 78 patients with liver fibrosis symptoms of F0~F4 stages. The experimental results support that the performance of the proposed architecture is much better compared to the transfer learning using the pre-trained model of VGGNet.

Robust Pelvic Coordinate System Determination for Pose Changes in Multidetector-row Computed Tomography Images

  • Kobashi, Syoji;Fujimoto, Satoshi;Nishiyama, Takayuki;Kanzaki, Noriyuki;Fujishiro, Takaaki;Shibanuma, Nao;Kuramoto, Kei;Kurosaka, Masahiro;Hata, Yutaka
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • 제10권1호
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    • pp.65-72
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    • 2010
  • For developing navigation system of total hip arthroplasty (THA) and evaluating hip joint kinematics, 3-D pose position of the femur and acetabulum in the pelvic coordinate system has been quantified. The pelvic coordinate system is determined by manually indicating pelvic landmarks in multidetector-row computed tomography (MDCT) images. It includes intra- and inter-observer variability, and may result in a variability of THA operation or diagnosis. To reduce the variability of pelvic coordinate system determination, this paper proposes an automated method in MDCT images. The proposed method determines pelvic coordinate system automatically by detecting pelvic landmarks on anterior pelvic plane (APP) from MDCT images. The method calibrates pelvic pose by using silhouette images to suppress the affect of pelvic pose change. As a result of comparing with manual determination, the proposed method determined the coordinate system with a mean displacement of $2.6\;{\pm}\;1.6$ mm and a mean angle error of $0.78\;{\pm}\;0.34$ deg on 5 THA subjects. For changes of pelvic pose position within 10 deg, standard deviation of displacement was 3.7 mm, and of pose was 1.28 deg. We confirmed the proposed method was robust for pelvic pose changes.

부력저항 영구앵커의 장기거동 특성에 관한 연구 (A Study on the Long-Term Behavior Characteristics of Buoyancy-Resistant Permanent Anchor)

  • 허병주;김찬기;정용건;천병식
    • 한국지반환경공학회 논문집
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    • 제11권12호
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    • pp.27-35
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    • 2010
  • 지하공간에 설치되는 구조물 중 지하수위 아래에 위치하는 부분은 상향으로 정수압인 부력이 작용하게 된다. 최근 큰 규모의 중요구조물 즉, 부력이 크게 발생하는 구조물은 공사비가 고가이나 안전율을 확실하게 증가시키는 방법인 부력저항 영구앵커를 많이 적용하고 있는 실정이다. 그러나, 부력저항 영구앵커의 저항 메커니즘 규명은 미흡한 실정이다. 특히, 시공 후 앵커의 장기거동에 대한 규명은 계측 관리의 어려움으로 이루어지지 않고 있는 것이 현실이다. 본 연구에서는 부력 저항 영구앵커의 설계 시 합리적인 구조물 거동 평가를 위하여 앵커두부에 하중계를 설치하여 앵커축력을 자동화계측 및 수동계측을 통해 시공초기부터 10년간 계측 분석하였으며, 이를 토대로 건물의 자중증가에 따른 앵커의 시공단계별 거동과 시간 경과에 따른 앵커의 장기거동(시공 후 10년 이내의 거동)을 분석하였다.

개선된 가변형 능동모델을 이용한 흉부 컴퓨터단층영상에서 폐 실질의 분할 (Image Segmentation of Lung Parenchyma using Improved Deformable Model on Chest Computed Tomography)

  • 김창수;최석윤
    • 한국정보통신학회논문지
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    • 제13권10호
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    • pp.2163-2170
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    • 2009
  • 흉부 컴퓨터단층영상에서의 얻어진 폐 영상은 볼륨과 형태 등의 정량적인 정보들로서 진단과 수술 계획 등에 있어서 필연적 정보를 제공한다. 일반적인 영상분할은 이미지를 구성 요소영역이나 목적물에 따라 나누는 방법이다. 그러나 재분할을 하는 단계에서 최종영상은 에너지 최소화를 해결하는 정도에 의존하며, 분할은 응용대상의 관심 영역에서 객체나 물체의 경계에서 정지하게 된다. 가변형 능동모델은 컴퓨터 비젼, 영상처리 분야에서 광범위하게 사용되고 있다. 또한 영역 분할은 현재까지 많은 연구가 되고 있으며, Xu에 의해서 GVF라는 새로운 형태의 외부힘이 제안되고 있다. 본 논문에서 제안하는 알고리듬은 흉부 컴퓨터단층영상에서 실질을 자동 분할하기 위해서 에너지 최소화 방법을 사용하고, 영역분할을 위해 개선된 가변형 능동모델을 제안한다. 알고리듬은 정확한 영역분할을 위해서 기존 방법과 다른 개선된 외부힘을 정의하는 것이다. 임상의 실험은 흉부 컴퓨터단층영상에서 진단에 필요로 하는 폐 실질의 분할이 성공적인 결과를 나타내었다.

데이터 품질진단을 위한 자동화도구 개발 (Development of Automated Tools for Data Quality Diagnostics)

  • 고재환;김동수;한기준
    • 한국IT서비스학회지
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    • 제11권4호
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    • pp.153-170
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    • 2012
  • When companies or institutes manage data, in order to utilize it as useful resources for decision-making, it is essential to offer precise and reliable data. While most small and medium-sized enterprises and public institutes have been investing a great amount of money in management and maintenance of their data systems, the investment in data management has been inadequate. When public institutions establish their data systems, inspection has been constantly carried out on the data systems in order to improve safety and effectiveness. However, their capabilities in improving the quality of data have been insufficient. This study develops an automatic tool to diagnose the quality of data in a way to diagnose the data quality condition of the inspected institute quantitatively at the stage of design and closure by inspecting the data system and proves its practicality by applying the automatic tool to inspection. As a means to diagnose the quality, this study categorizes, in the aspect of quality characteristics, the items that may be improved through diagnosis at the stage of design, the early stage of establishing the data system and the measurement items by the quality index regarding measurable data values at the stage of establishment and operation. The study presents a way of quantitative measurement regarding the data structures and data values by concretizing the measurement items by quality index in a function of the automatic tool program. Also, the practicality of the tool is proved by applying the tool in the inspection field. As a result, the areas which the institute should improve are reported objectively through a complete enumeration survey on the diagnosed items and the indicators for quality improvement are presented quantitatively by presenting the quality condition quantitatively.

Clinical Relevance of Cystatin C as a Renal Marker in Dogs with Chronic Mitral Valve Insufficiency

  • Eom, Na-Young;Choi, Eul-Soo;Song, Joong-Hyun;Lee, Hee-Chun;Jung, Dong-In
    • 한국임상수의학회지
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    • 제33권2호
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    • pp.81-86
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    • 2016
  • Cystatin C is a low molecular weight 13 kilodalton protein. It is known to be a more sensitive marker of glomerular filtration rate than creatinine in humans. The purpose of the present study was to demonstrate the changes of renal markers including cystatin C according to the severity of chronic mitral valve insufficiency (CMVI) and to investigate the clinical relevance of cystatin C as an early renal marker in dogs with CMVI. A retrospective study was performed to assess renal function according to International Small Animal Cardiac Health Council (ISACHC) system classification of heart failure in dogs with CMVI. Thirty seven dogs were divided into a group 1 (healthy dogs ; n = 10), a group 2 (ISACHC I ; n = 10) and a group 3 (ISACHC II-III ; n = 17). In all dogs, serum concentrations of bun (sUr), creatinine (sCr) and cystatin C (sCys-C) were measured with an automated analyzer. In dogs with CMVI, sCys-C concentrations were significantly correlated with sCr concentrations and were independent of age, BW, SBP, and sex. Renal dysfunction tended to occur more frequently as the severity of CMVI increases. In dogs with mild CMVI, only sCys-C concentrations were statistically higher than in healthy dogs. This study demonstrates the clinical relevance of sCys-C. sCys-C may be a valuable renal marker for early diagnosis of renal dysfunction in dogs with CMVI.

진단검사의학과의 검사분야별 기능과 검사흐름도에 대한 연구 (A Study on the Function and Workflow of Laboratory Sections for Clinical Laboratory Design)

  • 최창대;김영애;정태원
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제25권1호
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    • pp.17-27
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    • 2019
  • Purpose: Clinical laboratory in hospital has taken a great role in protection of chronic disease. as well as diagnosis and treatment, And laboratory layout has been considered by the management and laboratory section more than the function and workflow. Methods: So this study figures out the workflows of laboratory sections in the recently upgraded Laboratory Medicine, and searches the functional relationships and spatial block diagram between each disciplines as follows. Literature review and expert adviser has been conducted. Results: 1) Laboratory type of Laboratory Medicine is divided into routine and specialized laboratory according to the workflow by automated or specialized test. 2) The general workflow consists of specimen collection, specimen classification, test by discipline, test report, and specimen disposal. 3) Though the function of each laboratory section is very complicated and specific, the characteristics and the workflow can be shown in detail by each lab through [Figure 4], [Figure 5], [Figure 6], [Figure 7], and [Figure 8]. 4) Functional relationship diagram can be displayed to the adjacency and relation between each laboratory and support spaces. 5) The spatial block diagram could be presented as shown in [Figure 10], in which the emergency lab lay in front side, routine lab in the central open area, and specialized lab in the behind side. Implications: This study can be used as a useful data in planning and designing a Laboratory Medicine Department.

Blockchain for Securing Smart Grids

  • Aldabbagh, Ghadah;Bamasag, Omaimah;Almasari, Lola;Alsaidalani, Rabab;Redwan, Afnan;Alsaggaf, Amaal
    • International Journal of Computer Science & Network Security
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    • 제21권4호
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    • pp.255-263
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    • 2021
  • Smart grid is a fully-automated, bi-directional, power transmission network based on the physical grid system, which combines sensor measurement, computer, information communication, and automatic control technology. Blockchain technology, with its security features, can be integrated with Smart Grids to provide secure and efficient power management and transmission. This paper dicusses the deployment of Blockchain technology in Smart Grid. It presents application areas and protocols in which blockchain can be applied to in securing smart grid. One application of each area is explored in detail, such as efficient peer-to-peer transaction, lower platform costs, faster processes, greater flexibility in power generation to transmission, distribution and power consumption in different energy storage systems, current barriers obstructing the implementation of blockchain applications with some level of maturity in financial services but concepts only in energy and other sectors. Wide range of energy applications suggesting a suitable blockchain architecture in smart grid operations, a sample block structure and the potential blockchain technicalities employed in it. Also, added with efficient data aggregation schemes based on the blockchain technology to overcome the challenges related to privacy and security in the smart grid. Later on, consensus algorithms and protocols are discussed. Monitoring of the usage and statistics of energy distribution systems that can also be used to remotely control energy flow to a particular area. Further, the discussion on the blockchain-based frameworks that helps in the diagnosis and maintenance of smart grid equipment. We have also discussed several commercial implementations of blockchain in the smart grid. Finally, various challenges have been discussed for integrating these technologies. Overall, it can be said at the present point in time that blockchain technology certainly shows a lot of potentials from a customer perspective too and should be further developed by market participants. The approaches seen thus far may have a disruptive effect in the future and might require additional regulatory intervention in an already tightly regulated energy market. If blockchains are to deliver benefits for consumers (whether as consumers or prosumers of energy), a strong focus on consumer issues will be needed.