• 대한약침학회지
• /
• 제27권1호
• /
• pp.21-26
• /
• 2024

Objectives: Pulse is a method of Korean medicine diagnosis and is an important clue to detect the organs, nature, and progress of the disease. Pulse examination is included in the basic examination of Korean medicine doctors, but there is no standardized method for diagnosing pulse although the types and methods of the pulse taking are briefly described in the literature, making it difficult to spread the examination method. In this regard, I would like to propose an objective evaluation method. Methods: Although the importance of pulse examination and the method of pulse examination are known in the literature, it is difficult for undergraduate students or inexperienced Korean medicine doctors to access it, so in this paper a method of marking the size of the pulse power in the blank space for objective evaluation was devised and presented. Results: The size of the pulse power should be indicated using the 1-cell, 3-cell, or 5-cell method according to the left and right wrists and the cun, guan and chi on both sides. Conclusion: The method of pulse diagnosis is an important diagnostic method as a verification process for making a Korean medical diagnosis. The remaining Korean medicine diagnostic methods, including pulse diagnosis, also need to undergo objectification. It is believed that the objectification of these diagnostic methods will lead to an improvement in the treatment rate of Korean medicine.

• Tuberculosis and Respiratory Diseases
• /
• 제56권3호
• /
• pp.241-247
• /
• 2004

In the diagnostic evaluation of thoracic lesions, the image-guided transthoracic needle biopsy was developed, and its role was expanded with the development of cross-sectional detection and characterization of thoracic lesions and advances in biopsy needle design and techniques. Particularly for diagnostic evaluation of solitary pulmonary nodules, transthoracic needle biopsy has emerged as the invasive procedure of choice. This article covers the indication, the pre-procedure preparation, various guidance-modalities and techniques, and complications.

• 대한수의학회지
• /
• 제54권4호
• /
• pp.257-260
• /
• 2014

A calf suffering from diarrhea was admitted to the Animal and Plant Quarantine Agency for diagnostic evaluation. Postmortem examination revealed that the mesenteric lymph node was enlarged and small intestine wall was thin. Microscopically, a large number of small round organisms were attached to the small intestine villi. Villous atrophy and proprial neutrophil infiltration were also observed. Based on modified Ziehl-Neelsen staining, electron microscopy, and ELISA results, the calf was diagnosed with fatal cryptosporidiosis.

• Journal of Chest Surgery
• /
• 제50권4호
• /
• pp.287-290
• /
• 2017

Herein, we report the case of a 60-year-old man, a smoker with a history of arterial hypertension and diabetes mellitus. After computed tomography (CT) for an episode of hemoptysis, the patient underwent elective thoracic endovascular aortic repair (TEVAR) because of a degenerative aneurysm of the descending thoracic aorta. The area of perianeurysmal pulmonary atelectasis reported on the CT scan was not considered. Three months later, he developed an aortopulmonary fistula without endoleaks. Although TEVAR is a relatively safe procedure, no detail should be overlooked in the preoperative evaluation in order to avoid life-threatening complications. Further, the effectiveness and modality of prolonged antibiotic prophylaxis and/or preoperative respiratory physiotherapy should be assessed in such cases.

• 대한방사선기술학회지:방사선기술과학
• /
• 제15권1호
• /
• pp.99-105
• /
• 1992

Visual evaluation of rib shadow and lung marking during high voltage chest radiography. The Purpose of this study is to improvement of visual discrimination of pulmonary structures on the conventional chest radiogram. The author prepared an artificial lung using an acryl plate, 8 cm in thickness, which is nearly equivalent to human lung, and 0.6 cm thickness of an aluminum plate for an artificial rib, and 0.5 cm of an acryl plate as a pulmonary vessel as well. And they were used as objects for experimental radiograms. This study performed with gradual increasing densities of film bases in the sequences of densities of 0.6, 0.9, 1.1 and 1.3. We made two combinations of images after multiple and regular cuts, with width of 1 cm, of 4 radiograms at the above mentioned densities of film bases. One image consisted of alternative combination of radiograms taken at densities of 0.6 and 1.3, and the other did at 0.9 and 1.1. The latter image provided better visual perception of pulmonary structures than the former. Experimental radiograms were also taken with 60 kV and 120 kV respectively. After careful evaluation and comparison to images taken on varieties of different densities with combinations and kV, the author had a conclusion that it is advisable to use a high kV X-ray which makes rib shadow subtle, for better visual delineation of pulmonary structures behind ribcage, eventhough contrast of pulmonary structures are decreased at high kV radiogram.

• 대한세포병리학회지
• /
• 제19권2호
• /
• pp.65-71
• /
• 2008

In Korea, the quality control(QC) program forcytopathology was introduced in 1995. The program consists of a checklist for the cytolopathology departments, analysis data on all the participating institutions' QC data, including the annual data on cytologic examinations, the distribution of the gynecological cytologic diagnoses, as based on The Bethesda System 2001, and the data on cytologic-histolgical correlation of the gynecological field, and an evaluation for diagnostic accuracy. The diagnostic accuracy program has been performed 3 times per year with using gynecological, body fluid and fine needle aspiration cytologic slides. We report here on the institutional QC data and the evaluation for diagnostic accuracy since 2004, and also on the new strategy for quality control and assurance in the cytologic field. The diagnostic accuracy results of both the participating institutions and the QC committee were as follows; Category 0 and A: about 94%, Category B: 4-5%, Category C: less than 2%. As a whole, the cytologic daignostic accuracy is relatively satisfactory. In 2008, on site evaluation for pathology and cytology laboratories, as based on the "Quality Assurance Program for Pathology Services" is now going on, and a new method using virtual slides or image files for determining the diagnostic accuracy will be performed in November 2008.

• Korean Journal of Radiology
• /
• 제20권1호
• /
• pp.158-165
• /
• 2019

Objective: Recent studies demonstrated that core needle biopsy (CNB) can effectively reduce the possibility of inconclusive results and prevent unnecessary diagnostic surgery. However, the effectiveness of CNB in patients with suspicious thyroid nodules has not been fully evaluated. This prospective study aimed to determine the potential of CNB to assess thyroid nodules with suspicious ultrasound (US) features. Materials and Methods: Patients undergoing CNB for thyroid nodules with suspicious features on US were enrolled between May and August 2016. Diagnostic performance and the incidence of non-diagnostic results, inconclusive results, conclusive results, malignancy, unnecessary surgery, and complications were analyzed. Subgroup analysis according to nodule size was performed. The risk factors associated with inconclusive results were evaluated using multivariate logistic regression analysis. Results: A total of 93 patients (102 thyroid nodules) were evaluated. All samples obtained from CNB were adequate for diagnosis. Inconclusive results were seen in 12.7% of cases. The diagnostic accuracy, sensitivity, specificity, positive predictive value, and negative predictive value for diagnosis of malignancy were 93.8%, 100%, 100%, 78.9%, and 95%, respectively. None of the patients underwent unnecessary surgery. The diagnostic performance was not significantly different according to nodule size. On multivariate logistic regression analysis, larger nodule size and shorter needle length were independent risk factors associated with inconclusive results. Conclusion: Samples obtained by CNB were sufficient for diagnosis in all cases and resulted in high diagnostic values and conclusive results in the evaluation of suspicious thyroid nodules. These findings indicated that CNB is a promising diagnostic tool for suspicious thyroid nodules.

• Journal of Radiation Protection and Research
• /
• 제35권3호
• /
• pp.111-116
• /
• 2010

진단을 위한 엑스선검사는 의료분야에서 전리방사선을 가장 많이 사용하고 있으며 인공 방사선피폭중 가장 높은 비율을 차지하고 있다. 우리나라에서도 진단 엑스선검사에 의한 의료피폭은 전체 방사선 피폭 중 17.4%를 차지하고 있으며 인공방사선피폭 중에서는 92%를 차지하고 있다. 두부진단을 위한 엑스선 촬영 횟수도 2007년의 경우에는 111,567건으로서 2004년 이후 매년 3% 정도의 증가 추세를 나타내고 있다. 따라서 환자선량 권고량을 국내의료기관 실정에 맞도록 설정하여 두부촬영시 환자가 받는 방사선량을 줄이고 환자의 방사선 방어를 최적화 하는 것이 필요하다. 본 논문에서는 전국 114개 의료기관에서의 두부 촬영시 피폭되는 방사선량을 인체팬텀과 유리선량계를 사용하여 측정하고 환자선량권고량(DRL, Diagnostic Reference Level)을 확립하였다. 이 결과에 따라 두부 후전면 촬영에서의 환자선량 권고량은 2.23 mGy이며, 이는 세계보건기구, 국제원자력기구 등 국제기구가 권고하는 선량 5 mGy 보다 낮았으며, 두부 측면찰영에서의 환자선량 권고량인 1.87 mGy는 국제기구가 권고하는 선량 3mG 보다 낮았다.

• Journal of Korean Neurosurgical Society
• /
• 제30권2호
• /
• pp.186-193
• /
• 2001

Objectives : Trigeminal neuralgia and hemifacial spasm are caused by vascular compression of the REZ(root entry or exit zone) of the 5th and the 7th cranial nerve. Preoperative detection of neurovascular compression is essential for accurate diagnosis, appropriate treatment, and the good operative results. Three dimensional Fourier Transformation-Constructive Interference in Steady State(3DFT-CISS) images are known to give good contrast between CSF, nerve, and vessels. We applied a 3DFT-CISS imaging technique for the preoperative evaluation of patients with these diseases and estimated the diagnostic accuracy and usefulness of this study. Methods : A series of 71 patients with trigeminal neuralgia and hemifacial spasm were treated by microvascular decompression. Among them 34 patients with trigeminal neuralgia and 24 patients with hemifacial spasm had preoperative CISS images. We compared the radiologic finding with the operative finding, and analysed the diagnostic usefulness of 3DFT-CISS imaging. Results : The sensitivity of CISS images of detecting the neurovascular compression was 90.3% in trigeminal neuralgia and 100% in hemifacial spasm. There were one false-positive and three false-negative cases in trigeminal neuralgia, and one false-positive case in hemifacial spasm. The accuracy in diagnosing the causative vessel was 73.5% in trigeminal neuralgia and 83.3% in hemifacial spasm. Conclusion : CISS image is very useful diagnostic tool for preoperative evaluation of neurovascular compression in patients with trigeminal neuralgia and hemifacial spasm. No additional neuroradiologic examination other than CISS image and MRA is needed for preoperative evaluation of patients with trigeminal neuralgia and hemifacial spasm.

• 전자공학회논문지 IE
• /
• 제46권3호
• /
• pp.62-67
• /
• 2009

본 논문에서는 퍼지논리시스템을 이용하여 ROC 곡선을 설계하였다. ROC 곡선은 진단평가를 위하여 이용되고, ROC 곡선을 평가하는 진단자는 초보 진단자를 선정하였다. 학습을 통한 ROC 곡선에 관한 진단능력을 평가하기 위하여 흉부 X-선 사진이 사용되었다. 진단을 위해 잡음과 신호(병변)을 갖는 X-선 필름을 사용하였다. 남성과 여성 간의 진단능력의 차이에 관하여 나타난 결과는 여성보다 남성이 우세한 것으로 나타났으나 그 차이는 작은 것으로 나타났다.