• 제목/요약/키워드: Consensus document

검색결과 24건 처리시간 0.025초

Guidelines for Cardiovascular Magnetic Resonance Imaging from the Korean Society of Cardiovascular Imaging (KOSCI) - Part 3: Perfusion, Delayed Enhancement, and T1- and T2 Mapping

  • Im, Dong Jin;Hong, Su Jin;Park, Eun-Ah;Kim, Eun Young;Jo, Yeseul;Kim, Jeong Jae;Park, Chul Hwan;Yong, Hwan Seok;Lee, Jae Wook;Hur, Jee Hye;Yang, Dong Hyun;Lee, Bae-Young
    • Investigative Magnetic Resonance Imaging
    • /
    • 제24권1호
    • /
    • pp.1-20
    • /
    • 2020
  • This document is the third part of the guidelines for the interpretation and post-processing of cardiac magnetic resonance (CMR) studies. These consensus recommendations have been developed by a Consensus Committee of the Korean Society of Cardiovascular Imaging (KOSCI) to standardize the requirements for image interpretation and post-processing of CMR. This third part of the recommendations describes tissue characterization modules, including perfusion, late gadolinium enhancement, and T1- and T2 mapping. Additionally, this document provides guidance for visual and quantitative assessment, consisting of "What-to-See," "How-To," and common pitfalls for the analysis of each module. The Consensus Committee hopes that this document will contribute to the standardization of image interpretation and post-processing of CMR studies.

말초 동맥 분광 도플러 파형 해석 및 명명법에 대한 고찰 (Study of Spectral Doppler Waveform Interpretation and Nomenclature in Peripheral Artery)

  • 지명훈;성열훈
    • 한국방사선학회논문지
    • /
    • 제16권5호
    • /
    • pp.649-660
    • /
    • 2022
  • 1959년도 Satomura가 분광 도플러 초음파를 이용하여 시간변화에 따른 적혈구의 속도를 표현하였고 Kato가 혈류의 방향을 알 수 있는 제로베이스 선(Zerobase line)을 정의하면서 혈류의 방향을 알 수 있게 되었다. 이는 현재 폭넓게 사용하고 있는 삼상파 (Triphasic), 이상파(Biphasic), 단상파(Monophasic) 분류의 기초가 되었다. 하지만 위와 같은 분류는 임상 환경에서 사용 의미와 시점에 사용자들에게 혼란을 주는 한계가 있었고 이와 같은 결과로 미국의 혈관의학회(Society for Vascular Medicine, SVM)와 혈관초음파학회(Society for Vascular Ultrasound, SVU)가 구성한 공동 위원회에서 도플러 파형 해석 합의문(Consensus document)을 선언하였다. 본 연구에서는 이 합의문을 고찰하고 국내 혈관 초음파 임상 현장에서 사용될 수 있는 명명법과 수식어를 제언하고자 하였다. SVM과 SVU가 구성한 공동 위원회에서는 동맥 삼상파(Triphasic waveform)와 이상파(Biphasic waveform)의 해석의 모호함을 이유로 사용을 지양하고 다상파(Multiphasic waveform)로 사용하길 권고 하였다. 또한 임상 환경에서 항상 해석의 문제가 되었던 단상파이면서 고저항성 파형인 하이브리드 형태 파형을 중저항성 파형(Intermediate resistive)으로 명명하기로 합의하였다. 또한 판독의사와 초음파사간에 의사소통의 효율성을 높이기 위해 파형 해석을 주 설명어(Main descriptor)와 수식어(Modifier)로 분류하였고 다양하게 사용하던 동의어들을 통일하여 하나의 명명법으로 사용하도록 권고하였다. 본 문헌 고찰을 통해 임상에서 혈관 초음파 검사 직무를 수행하는 방사선사들에게 정확한 동맥 분광 도플러 파형 해석과 합의된 명명법을 제공하여 국민보건향상에 이바지할 수 있는 기초자료로 활용되기를 기대한다.

The Value and Limitations of Guidelines, Expert Consensus, and Registries on the Management of Patients with Thoracic Aortic Disease

  • Pacini, Davide;Murana, Giacomo;Leone, Alessandro;Marco, Luca Di;Pantaleo, Antonio
    • Journal of Chest Surgery
    • /
    • 제49권6호
    • /
    • pp.413-420
    • /
    • 2016
  • Doctors are often faced with difficult decisions and uncertainty when patients need a certain treatment. They routinely rely on the scientific literature, in addition to their knowledge, experience, and patient preferences. Clinical practice guidelines are created with the intention of facilitating decision-making. They may offer concise instructions for the diagnosis, management (medical or surgical treatments), and prevention of specific diseases or conditions. All information included in the final version are the result of a systematic review of scientific articles and an assessment of the benefits and costs of alternative care options. The final document attempts to meet the needs of most patients in most circumstances and clinicians, aware of these recommendations, should always make individualized treatment decisions. In this review, we attempted to define the intent and applicability of clinical practice guidelines, expert consensus documents, and registry studies, focusing on the management of patients with thoracic aortic disease.

2024 Consensus Statement on Coronary Stenosis and Plaque Evaluation in CT Angiography From the Asian Society of Cardiovascular Imaging-Practical Tutorial (ASCI-PT)

  • Cherry Kim;Chul Hwan Park;Bae Young Lee;Chan Ho Park;Eun-Ju Kang;Hyun Jung Koo;Kakuya Kitagawa;Min Jae Cha;Rungroj Krittayaphong;Sang Il Choi;Hwan Seok Yong;Sung Min Ko;Sung Mok Kim;Sung Ho Hwang;Nguyen Ngoc Trang;Whal Lee;Young Jin Kim;Jongmin Lee;Dong Hyun Yang
    • Korean Journal of Radiology
    • /
    • 제25권4호
    • /
    • pp.331-342
    • /
    • 2024
  • The Asian Society of Cardiovascular Imaging-Practical Tutorial (ASCI-PT) is an instructional initiative of the ASCI School designed to enhance educational standards. In 2021, the ASCI-PT was convened with the goal of formulating a consensus statement on the assessment of coronary stenosis and coronary plaque using coronary CT angiography (CCTA). Nineteen experts from four countries conducted thorough reviews of current guidelines and deliberated on eight key issues to refine the process and improve the clarity of reporting CCTA findings. The experts engaged in both online and on-site sessions to establish a unified agreement. This document presents a summary of the ASCI-PT 2021 deliberations and offers a comprehensive consensus statement on the evaluation of coronary stenosis and coronary plaque in CCTA.

MND-AF를 활용한 운용개념기술서(OCD) 및 운용요구서(ORD)에 대한 보완 연구 (The Complementary Study for Operational Concept Document(OCD) and Operational Requirements Document(ORD) using MND-AF)

  • 차승훈;장재덕;이혜진;최상욱;유제상
    • 시스템엔지니어링학술지
    • /
    • 제16권2호
    • /
    • pp.118-130
    • /
    • 2020
  • Modern weapon systems are composed of complex systems(System of Systems) and require a complex and advanced operational concept that performs missions through interoperability with various weapon systems. In order to derive the operational concept of the weapon system that the military wants to acquire (i.e., single mission, component operation, Joint and Alliance operations), it is necessary to identify the system related to the weapon system, environmental factors and restrictions of the weapon system to be developed. Through the derivation of the operational concept, the weapon system acquisition agency can reasonably and accurately extract various and complex requirements. In this paper, we propose a complementary method of using MND-AF to OCD and ORD required in weapon system acquisition process. MND-AF can increase the understanding and consensus of business stakeholders (users, acquirers, developers, etc.) by showing the results of weapon system analysis from various perspectives. We compare the items in the standard form of OCD and ORD with the MND-AF outputs.

한국 월출산 국립공원 지역민들이 이용하는 약용식물에 대한 민족식물학적 연구 (Ethnobotanical Study of Medicinal Plants used by Indigenous People in Wolchulsan National Park, Korea)

  • 송미장
    • 대한본초학회지
    • /
    • 제34권6호
    • /
    • pp.1-23
    • /
    • 2019
  • Objectives : The purpose of this study was to document the use of medicinal plants in traditional practices and to analyze and evaluate medicinal traditional knowledge of indigenous people in Wolchulsan National Park. Methods : Data were collected through interviews, informal meetings, open and group discussions, and observations guided by semi-structured questionnaires. Data were analyzed via quantitative analysis of use value (UV), informant consensus factor (ICF) and fidelity level (FL), and network analysis. Results : A total of 580 methods of usage recorded in this study were classified into 55 families, 95 genera, and 104 species. Plants with the highest recorded UVs were Glycine max (L.) Merr., Leonurus japonicus Houtt., and Artemisia princeps Pamp.. The informant consensus factor about using medicinal plants ranged from 0.55 to 0.92, which showed a high level of agreement among the informants on respiratory system disorders and pains. There were 22 species of plants with a fidelity level of 100 %, after eliminating the plants that were mentioned only once from the analysis. Finally, using network analysis, Glycine max (L.) Merr. and Artemisia princeps Pamp. were defined as species with meaningful medicinal use, while lumbago and leg pain were defined as significant ailments in the study area. Conclusions : This study highlights the diversity and importance of medicinal traditional knowledge for communities of Wolchulsan National Park, Korea. The results of this study will provide basic data for phytochemical and pharmaceutical studies, such as new medicines and therapies.

한국형 사전의료의향서의 구성 요건: 의료인을 중심으로 (Prerequisite for Korean Advance Directives: From the View of Healthcare Providers)

  • 김신미;홍선우;은영;고수진
    • 대한간호학회지
    • /
    • 제42권4호
    • /
    • pp.486-495
    • /
    • 2012
  • Purpose: The purpose of this study was to explore the main prerequisite for Korean Advance Directives [KAD] to ensure their better use. Methods: Data were collected from two focus group interviews and individual email responses. Study participants were 5 doctors and 6 nurses. All interview data were transcribed and analyzed using qualitative content analysis. Results: Three main themes emerged; establishing a philosophy of KAD, protocol to practice KAD, and the KAD document itself. A philosophy is needed to ensure individual needs, consensus to practice AD and identify principle agents. The core of protocol was found to be as follows; 1) process, 2) premise, 3) procedure, 4) contextual preparation, 5) timing, 6) feasibility. Component and feasibility need to be established for the document itself. Conclusion: For a positive acceptance of KAD in Korean society, a culture sensitive, reality based, and user friendly AD needs to be developed.

Indications for Lung Transplantation and Patient Selection

  • Son, Joohyung;Shin, Changwon
    • Journal of Chest Surgery
    • /
    • 제55권4호
    • /
    • pp.255-264
    • /
    • 2022
  • Globally, thousands of patients undergo lung transplantation owing to end-stage lung disease each year. As lung transplantation evolves, recommendations and indications are constantly being updated. In 2021, the International Society for Heart and Lung Transplantation published a new consensus document for selecting candidates for lung transplantation. However, it is still difficult to determine appropriate candidates for lung transplantation among patients with complex medical conditions and various diseases. Therefore, it is necessary to analyze each patient's overall situation and medical condition from various perspectives, and ongoing efforts to optimize the analysis will be necessary. The purpose of this study is to review the extant literature and discuss recent updates.

Clinical and Laboratory Standards Institute의 항생제 감수성 검사 소위원회 회의 소개 (Introduction of Clinical and Laboratory Standards Institute Antibiotic Susceptibility Testing Subcommittee Meeting)

  • 장철훈
    • Annals of Clinical Microbiology
    • /
    • 제21권4호
    • /
    • pp.69-74
    • /
    • 2018
  • 진단검사의학은 신속하고 정확한 체외검사 결과를 제공함으로써 임상의사가 환자를 진료하는 데 도움을 주는 전문 분야이다. 정확한 검사 결과를 제공하기 위해서는 검사에 관련된 모든 요소의 표준화가 필요하다. Clinical and Laboratory Standards Institute (CLSI)는 1968년에 표준화를 하는 데에 모두가 동의할 수 있는 공식적인 절차를 마련하기 위해 만들어졌고, 현재까지 임상검사실, 연구용 검사실을 포함한 많은 종류의 검사실 전 분야에 대해서 표준과 지침을 출판하여, 전 세계의 많은 검사실들이 표준화를 위해 이를 이용하고 있다. CLSI의 항생제 감수성 검사 소위원회(AST SC)는 6개의 상설 부서와 필요에 따라 만들어지는 많은 특설 부서로 구성되어 있다. AST SC의 구성원들은 소위원회에 제안된 내용을 검토하여 연 2차례 열리는 회의에서 제안 내용을 반영할지 여부를 결정함으로써 문서의 개정이 이루어진다. 이 회의는 등록한 사람은 누구나 참여할 수 있으므로, 우리 학회원들도 회의에 참여하여 표준 혹은 지침 문서의 생산에 능동적인 역할을 하기를 기대한다.

리뷰에서의 고객의견의 다층적 지식표현 (Multilayer Knowledge Representation of Customer's Opinion in Reviews)

  • ;원광복;옥철영
    • 한국정보과학회 언어공학연구회:학술대회논문집(한글 및 한국어 정보처리)
    • /
    • 한국정보과학회언어공학연구회 2018년도 제30회 한글 및 한국어 정보처리 학술대회
    • /
    • pp.652-657
    • /
    • 2018
  • With the rapid development of e-commerce, many customers can now express their opinion on various kinds of product at discussion groups, merchant sites, social networks, etc. Discerning a consensus opinion about a product sold online is difficult due to more and more reviews become available on the internet. Opinion Mining, also known as Sentiment analysis, is the task of automatically detecting and understanding the sentimental expressions about a product from customer textual reviews. Recently, researchers have proposed various approaches for evaluation in sentiment mining by applying several techniques for document, sentence and aspect level. Aspect-based sentiment analysis is getting widely interesting of researchers; however, more complex algorithms are needed to address this issue precisely with larger corpora. This paper introduces an approach of knowledge representation for the task of analyzing product aspect rating. We focus on how to form the nature of sentiment representation from textual opinion by utilizing the representation learning methods which include word embedding and compositional vector models. Our experiment is performed on a dataset of reviews from electronic domain and the obtained result show that the proposed system achieved outstanding methods in previous studies.

  • PDF