• Title/Summary/Keyword: Diagnostic Errors

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Ultrasound Image Classification of Diffuse Thyroid Disease using GLCM and Artificial Neural Network (GLCM과 인공신경망을 이용한 미만성 갑상샘 질환 초음파 영상 분류)

  • Eom, Sang-Hee;Nam, Jae-Hyun;Ye, Soo-Young
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.26 no.7
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    • pp.956-962
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    • 2022
  • Diffuse thyroid disease has ambiguous diagnostic criteria and many errors occur according to the subjective diagnosis of skilled practitioners. If image processing technology is applied to ultrasound images, quantitative data is extracted, and applied to a computer auxiliary diagnostic system, more accurate and political diagnosis is possible. In this paper, 19 parameters were extracted by applying the Gray level co-occurrence matrix (GLCM) algorithm to ultrasound images classified as normal, mild, and moderate in patients with thyroid disease. Using these parameters, an artificial neural network (ANN) was applied to analyze diffuse thyroid ultrasound images. The final classification rate using ANN was 96.9%. Using the results of the study, it is expected that errors caused by visual reading in the diagnosis of thyroid diseases can be reduced and used as a secondary means of diagnosing diffuse thyroid diseases.

Practical Understanding of Gross Examination Techniques (육안검사기술의 실무적 이해)

  • Woo-Hyun JI
    • Korean Journal of Clinical Laboratory Science
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    • v.56 no.1
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    • pp.89-98
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    • 2024
  • Gross examination techniques (GETs) of specimens collected from cancer surgery or endoscopy comprise the act of recording visual information about cancer for accurate histopathological diagnosis and collecting sections of the lesion to create microscopic specimens. GETs must include concise and accurate expressions, appropriate structuring, sufficient resections, error-free standardization of important information, and photo-diagramming of complex specimens. To increase the satisfaction of pathological interpretation, it is a task that must be performed accurately and carefully to gain confidence on a theoretical and practical basis with a sufficient understanding of gross examination. Based on the experience of clinical pathologists in the field of GETs, additional specimen types should be identified as viable candidates. Also, their needs and concerns regarding treatment should be carefully considered. In addition, departments at each institution should review the national focus on clinical partnerships, continuous professional training, diagnostic errors, and value-based healthcare provision.

Quality of Same-Day Sputum Smears Microscopy and Presumptive Tuberculosis Patients Drop-out at Health Facilities of Addis Ababa, Ethiopia

  • Taddese, Boja Dufera;Misganaw, Abay Sisay
    • Tuberculosis and Respiratory Diseases
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    • v.83 no.1
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    • pp.89-95
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    • 2020
  • Background: Same-day sputum microcopy is recommended in areas where sputum smear microscopy external quality assessment (EQA) is effectively implemented and sturdy. In Addis Ababa, the status of EQA and drop-out of same-day sputum smear microcopy has not yet been assessed. The objective of this study was to assess the quality of same-day sputum smear microscopy and diagnostic drop-out of presumptive tuberculosis (TB) patients in health facilities (HFs) across Addis Ababa, Ethiopia. Methods: Amulti-analysis was conducted from September 2016 to July 2017 to determine the status of external quality assessment and diagnostic drop-out of presumptive TB patients registered for same-day sputum smear microscopy. Data was coded and entered in Microsoft Excel, and subsequently transferred and analyzed using SPSS version 20.0. Results: The drop-out of same-day sputum smear microscopy was 209 (6.2%). More than 33% of the specimens collected for purposes of same-day sputum smears were of poor quality. Among the selected HFs for the study: 13 (46.4%) used filter reagents prior to sputum smear staining while 75% of the selected HFs for the study used smear microscopy services interruption in a year. The sensitivity and specificity of the HFs participating in regional quality assessment scheme for the diagnosis of TB was 97.4% and 99.6%, respectively. Conclusion: The diagnostic drop-out of same-day sputum smear microscopy was high in Addis Ababa. Strengthening EQA, competency-based laboratory professionals training on sputum smear microscopy might reduce the reading errors in sputum smear. Awareness creation of the community on the benefits gained from completion of specimen provision for the same-day approach decreases diagnostic drop-out and enhances TB control program.

Design and Implementation of a Diagnostic System for MOST Network using Wireless LAN (무선 랜을 이용한 MOST 네트워크 진단 시스템의 설계 및 구현)

  • Jang, Si-Woong;Kim, Kyeoung-Jin;Jeon, Young-Joon
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.15 no.8
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    • pp.1695-1703
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    • 2011
  • According to increase of the number of electronic devices for user comfort and safety, electronic systems are being constructed by using network to effectively control the devices. In this paper, we design and implement the MOST network diagnostic system by using wireless LAN to diagnose MOST network and the devices connected by the network and to effectively manage them. MOST, which is a vehicle multimedia network standard for the next generation, is being used for construction of car infotainment systems, and enables to develop various devices which are required for them. The wireless diagnostic system implemented in this paper enables to self-diagnose MOST network and also to check errors by diagnosing status of MOST electronic devices. We also can check and manage status of a in-vehicle MOST network system using mobile devices based on wireless LAN.

Scleral Diagnostic System Implementation with Color and Blood Vessel Sign Pattern Code Generations (컬러와 혈관징후패턴 코드 생성에 의한 공막진단시스템 구현)

  • Ryu, Kwang Ryol
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.18 no.12
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    • pp.3029-3034
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    • 2014
  • The paper describes the scleral diagnostic system implementation for human eyes by using the scleral color code and vessels sign pattern code generations. The system is based on the high performance DSP image signal processor, programmable gain control for preprocessing and RISC SD frames storage. RGB image signals are optimized by PGC, the edge image is detected form the gray image converted. The processing algorithms are executed by scleral color code generation and scleral vessels sign pattern code creation for discriminating and matching. The scleral symptomatic color code is generated by YCbCr values at memory map tolerated and the vessel sign pattern code is created by digitizing the 24 clock and 13 ring zones, overlay matching and tolerances. The experimental results for performance are that the system runs 40ms, and the color and pattern for diagnostic errors are around 20% and 24% on average. The system and technique enable a scleral diagnosis with subdividing the patterns and patient database.

MicroRNAs in Autoimmune Sjögren's Syndrome

  • Cha, Seunghee;Mona, Mahmoud;Lee, Kyung Eun;Kim, Dong Hee;Han, Kyudong
    • Genomics & Informatics
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    • v.16 no.4
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    • pp.19.1-19.11
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    • 2018
  • MicroRNAs (miRNAs), small non-coding RNAs, have been implicated in various diseases and cellular functions as microregulators of gene expression. Although the history of miRNA investigation in autoimmune $Sj{\ddot{o}}gren^{\prime}s$ syndrome (SjS) is fairly short, a substantial amount of data has already been accumulated. These findings clearly indicate potential clinical implications of miRNAs, such as autoantigen expression and autoantibody production, viral miRNAs regulating the calcium signaling pathway, and aberrant immune cell regulation and cytokine production. Research endeavors in the field are currently underway to select disease-specific diagnostic and prognostic biomarkers by utilizing different types of tissues or biological specimens of SjS patients. Various techniques for miRNA analysis with different stringencies have been applied, with the most recent one being next-generation sequencing. This review compiles and highlights differentially-expressed miRNAs in various samples collected from SjS patients and their potential implications in the pathogenesis of SjS. To facilitate the development of miRNA-targeted personalized therapy in the future, we urge more follow-up studies that confirm these findings and elucidate the immunopathological roles of differentially-expressed miRNAs. Furthermore, improved diagnostic criteria for the disease itself will minimize sampling errors in patient recruitment, preventing the generation of inconsistent data.

Analysis of Set-up Errors during CT-scan, Simulation, and Treatment Process in Breast Cancer Patients (유방암 환자의 모의치료, CT 스캔 및 치료 과정에서 발생되는 준비 오차 분석)

  • Lee, Re-Na
    • Radiation Oncology Journal
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    • v.23 no.3
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    • pp.169-175
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    • 2005
  • Purpose: Although computed tomography (CT) simulators are commonly used in radiation therapy department, many Institution still use conventional CT for treatments. In this study the setup errors that occur during simulation, CT scan (diagnostic CT scanner), and treatment were evaluated for the twenty one breast cancer patients. Materials and Methods: Errors were determined by calculating the differences in isocenter location, SSD, CLD, and locations of surgical clips implanted during surgery. The anatomic structures on simulation film and DRR image were compared to determine the movement of isocenter between simulation and CT scan. The isocetner point determined from the radio-opaque wires placed on patient's surface during CT scan was moved to new position if there was anatomic mismatch between the two images Results: In 7/21 patients, anatomic structures on DRR Image were different from the simulation Image thus new isocenter points were placed for treatment planning. The standard deviations of the diagnostic CT setup errors relative to the simulator setup in lateral, longitudinal, and anterior-posterior directions were 2.3, 1.6, and 1.6 mm, respectively. The average variation and standard deviation of SSD from AP field were 1.9 mm and 2.3 mm and from tangential fields were 2.8 mm and 3.7 mm. The variation of the CLD for the 21 patients ranged from 0 to 6 mm between simulation and DRR and 0 to 5 mm between simulation and treatment. The group systematic errors analyzed based on clip locations were 1.7 mm in lateral direction, 2.1 mm in AP direction, and 1.7 mm in SI direction. Conclusion: These results represent that there was no significant differences when SSD, CLD, clips' locations and isocenter locations were considered. Therefore, it is concluded that when a diagnostic CT scanner is used to acquire an image, the set-up variation is acceptable compared to using CT simulator for the treatment of breast cancer. However, the patient has to be positioned with care during CT scan in order to reduce the setup error between simulation and CT scan.

Enzyme Replacement Therapy for Lysosomal Storage Disease in Indonesia

  • Sjarif, Damayanti Rusli;Hafifah, Cut Nurul
    • Journal of mucopolysaccharidosis and rare diseases
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    • v.4 no.1
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    • pp.7-10
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    • 2018
  • Rare diseases are life threatening or chronically debilitating diseases with a low prevalence (less than 2,000 people in a population), which includes lysosomal storage diseases. These diseases are often seen as unimportant especially in developing countries, such as Indonesia, due to small number of patients. National Rare Disease Center in Indonesia was pioneered almost 20 years ago and officially established in 2017 by the Indonesian Minister of Health. Lysosomal storage disease become the most commonly found inborn errors of metabolism (IEM) in Indonesia due to easily accessible diagnostic facilities. Currently there are 7 patients receiving ERT in this mixed-donation scheme, one patient with Gaucher disease and 6 patients with MPS type II. Few challenges for ERT in Indonesia include importation through special access scheme, preparation of ERT infusion in intensive care settting, and cost of treatment. Even with limited resources, healthcare professionals in Indonesia have been giving the best care possible for rare disease patients, especially to provide diagnostic facilities through collaboration and treatment options for treatable rare diseases. Improvements in care for rare disease patients are still needed.

KTM TOKAMAK OPERATION SCENARIOS SOFTWARE INFRASTRUCTURE

  • Pavlov, V.;Baystrukov, K.;Golobokov, Yu.;Ovchinnikov, A.;Mezentsev, A.;Merkulov, S.;Lee, A.;Tazhibayeva, I.;Shapovalov, G.
    • Nuclear Engineering and Technology
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    • v.46 no.5
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    • pp.667-674
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    • 2014
  • One of the largest problems for tokamak devices such as Kazakhstan Tokamak for Material Testing (KTM) is the operation scenarios' development and execution. Operation scenarios may be varied often, so a convenient hardware and software solution is required for scenario management and execution. Dozens of diagnostic and control subsystems with numerous configuration settings may be used in an experiment, so it is required to automate the subsystem configuration process to coordinate changes of the related settings and to prevent errors. Most of the diagnostic and control subsystems software at KTM was unified using an extra software layer, describing the hardware abstraction interface. The experiment sequence was described using a command language. The whole infrastructure was brought together by a universal communication protocol supporting various media, including Ethernet and serial links. The operation sequence execution infrastructure was used at KTM to carry out plasma experiments.

The Methodological Review on the Accuracy Study of Questionnaire for Sasang Constitution Diagnosis (체질진단설문지 정확률 연구의 연구방법론 고찰)

  • Kim, Sang-Hyuk;Jang, Eun-Su;Koh, Byung-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.24 no.3
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    • pp.1-16
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    • 2012
  • Objectives For the methodological review on the accuracy study of questionnaire for Sasang constitution diagnosis, we searched the various diagnostic accuracy study of the questionnaires for Sasang constitution. Methods We searched MEDLINE, the Cochrane Library, KISS, and DBPIA. Additionally, We hand-searched the main oriental medical journals. All articles were independently reviewed and selected by two evaluators. And selected articles were assessed by "Quality Assessment of Diagnostic Accuracy Studies Tool"(QUADAS Tool) for the methodological review. Results The twenty eight studies initially identified studies were included in the methodological review. The part of "Acceptable reference standard", "Uninterpretable results reported" and "Withdrawals explained" was very weak in the risk of bias. The part of "Representative spectrum", "Acceptable delay between tests", "Incorporation avoided", "Reference standard results blinded", "Index test results blinded" was unclear in the description. Conclusions For the further study on the accuracy study of Sasang constitution diagnosis, we have to improve the aforementioned errors. Additionally, the checklist for the description of study might be needed.