• Title/Summary/Keyword: Diagnostic Evaluation

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Performance Improvement of Multiple Observer based FDIS using Fuzzy Logic (퍼지논리를 이용한 다중관측자 구조 FDIS의 성능개선)

  • Ryu, Ji-Su;Lee, Kee-Sang
    • The Transactions of the Korean Institute of Electrical Engineers A
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    • v.48 no.4
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    • pp.444-451
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    • 1999
  • A diagnostic rule-base design method for enhancing fault detection and isolation performance of multiple obsever based fault detection isolation schemes (FIDS) is presented. The diagnostic rule-base has a hierarchical framework to perform detection and isolation of faults of interest, and diagnosis of process faults. The decision unit comprises a rule base and a fuzzy inference engine and removes some difficulties of conventional decision unit which includes crisp logic with threshold values. Emphasis is placed on the design and evaluation methods of the diagnostic rult-base. The suggested scheme is applied to the FDIS design for a DC motor driven centrifugal pump system.

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Magnetic Resonance Imaging of Placenta Accreta Spectrum: A Step-by-Step Approach

  • Sitthipong Srisajjakul;Patcharin Prapaisilp;Sirikan Bangchokdee
    • Korean Journal of Radiology
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    • v.22 no.2
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    • pp.198-212
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    • 2021
  • Placenta accreta spectrum (PAS) is an abnormal placental adherence or invasion of the myometrium or extrauterine structures. As PAS is primarily staged and managed surgically, imaging can only guide and facilitate diagnosis. But, imaging can aid in preparations for surgical complexity in some cases of PAS. Ultrasound remains the imaging modality of choice; however, magnetic resonance imaging (MRI) is required for evaluation of areas difficult to visualize on ultrasound, and the assessment of the extent of placenta accreta. Numerous MRI features of PAS have been described, including dark intraplacental bands, placental bulge, and placental heterogeneity. Failure to diagnose PAS carries a risk of massive hemorrhage and surgical complications. This article describes a comprehensive, step-by-step approach to diagnostic imaging and its potential pitfalls.

Evaluation of Radiographic Positioning Techniques Used in Local Hospitals after Teleradiology Consultation

  • Sojin Kim;Miju Oh;Yooyoung Lee;Minju Lee;Jiyoung Ban;Uhjin Kim;Jiwoon Park;Jaepung Han;Dongwoo Chang
    • Journal of Veterinary Clinics
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    • v.39 no.6
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    • pp.326-333
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    • 2022
  • The purpose of this study was to evaluate the radiographic positioning techniques used in local animal hospitals, identify the most common positioning problem, and determine whether there were changes after teleradiology consultations. From September 2016 to April 2021, 15 local animal hospitals that requested radiographic interpretation more than 10 times and for more than six cases of thoracic radiographs were selected. Six sets of two-views of (lateral and ventrodorsal [VD] or dorsoventral [DV] views) digital thoracic radiographs from six dogs per hospital were evaluated in four categories. For the lateral view, radiographic technique scores used in ten local animal hospitals improved, one remained the same, and four became worse. For the VD/DV view, the score for eleven hospitals improved and worsened for four. The most common problem was rotation (57/90) for the lateral view, followed by an inappropriate field of view (59/90), and incorrect beam center (71/90). For the VD/DV view, an inappropriate field of view (54/90) was the most common problem, followed by asymmetry (63/90), and incorrect beam center (73/90). Every factor, except rotation in the lateral view, improved after obtaining technical consultation; however, the degrees of improvement were not remarkable. There was no significant correlation between the number of requests and the degree of improvement. According to the results, the radiographic technique used in local animal hospitals was improved by technical advice on teleradiology. These changes make it possible to provide accurate diagnoses of the requested images. There are some limitations regarding the indicators of evaluation and the number of cases; therefore, further studies that use detailed indicators in large cohort group are needed. In addition, an effective method of teaching should be developed to improve radiographic techniques in local animal hospitals.

Comparison of Fine Needle Aspiration Cytologic Diagnoses and Histologic Diagnoses in 256 Breast Lesions (유방 병변 256례의 세침흡인 세포학적 진단 및 조직학적 진단과의 비교연구)

  • Kang, Mi-Seon;Jung, Soo-Jin;Yoon, Hye-Kyoung
    • The Korean Journal of Cytopathology
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    • v.8 no.2
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    • pp.120-128
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    • 1997
  • Fine needle aspiration cytology of breast lesion is well known as a simple, economic and effective diagnostic modality. For the evaluation of cytohistologic correlation, 256 cases of cytologic smears and subsequent histologic sections during 2-year period from Jan. 1995 to Dec. 1996 were reviewed. 1. Fifteen cases(5.9%) were proven as insufficient for evaluation, and 13 of them were fibrocystic change histologically. One case of carcinoma exhibiting sufficient amount of aspirates with no malignant cells on smear was regarded as inadequate. 2. Cytohistologic correlation of 240 cases revealed sensitivity 87.0%, specificity 100.0%, positive predictive value 100.0%, negative predictive value 97.0%, false positive rate 0.0% and false negative rate 13.0%. Total diagnostic accuracy is 95.7%. 3. Total 6 cases of negative were due to small amount of aspirates containing scantiness of malignant cells in two and underestimation in four. 4. Diagnostic concordance rates of fibrocystic change and fibroadenoma were 95.5% and 80.0%, respectively. Diagnostic discrepancies were noted in 7 cases of fibrocystic change and 6 cases of fibroadenoma, however, cytologic discrimination of two entities was not easy in seven of them. 5. In a case of phyllodes tumor and a case of duct ectasia, the discrepancy was due to targeting error. Other three cases(lymphoma, adenomyoepithelioma and granulomatous mastitis) were misinterpreted because of poor acquaintance with those entities. Diagnostic accuracy of fine needle aspiration cytology of breast lesions are relatively high. However, good technique on aspiration and adequate interpretation are necessary to reduce the false negative rate and the discrepancy between cytologic and histologic diagnoses.

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Critical Evaluation of Fine Needle Aspiration Cytology as a Diagnostic Technique in Bone Tumors and Tumor-like Lesions

  • Chakrabarti, Sudipta;Datta, Alok Sobhan;Hira, Michael
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.7
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    • pp.3031-3035
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    • 2012
  • Background: Though open surgical biopsy is the procedure of choice for the diagnosis of bone tumors, many disadvantages are associated with this approach. The present study was undertaken to evaluate the role of fine needle aspiration cytology (FNAC) as a diagnostic tool in cases of bony tumors and tumor-like lesions which may be conducted in centers where facilities for surgical biopsies are inadequate. Methods: The study population consisted of 51 cases presenting with a skeletal mass. After clinical evaluation, radiological correlation was done to assess the nature and extent of each lesion. Fine needle aspiration was performed aseptically and smears were prepared. Patients subsequently underwent open surgical biopsy and tissue samples were obtained for histopathological examination. Standard statistical methods were applied for analysis of data. Results: Adequate material was not obtained even after repeated aspiration in seven cases, six of which were benign. Among the remaining 44 cases, diagnosis of malignancy was correctly provided in 28 (93.3%) out of 30 cases and categorical diagnosis in 20 (66.67%). Interpretation of cytology was more difficult in cases of benign and tumor-like lesions, with a categorical opinion only possible in seven (50%) cases. Statistical analysis showed FNAC with malignant tumors to have high sensitivity (93.3%), specificity (92.9%) and positive predictive value of 96.6%, whereas the negative predictive value was 86.7%. Conclusion: FNAC should be included in the diagnostic workup of a skeletal tumor because of its simplicity and reliability. However, a definitive pathologic diagnosis heavily depends on compatible clinical and radiologic features which can only be accomplished by teamwork. The cytological technique applied in this study could detect many bone tumors and tumor-like conditions and appears particularly suitable as a diagnostic technique for rural regions of India as other developing countries.

Development of STEAM Diagnostic Evaluation Tool to Strengthen the Implementation of STEAM Education (STEAM 교육의 실행 강화를 위한 학교 STEAM 역량 진단 도구 개발)

  • Park, HyunJu;Sim, Jaeho;Lee, Ji-Ae;Lee, Youngtae
    • Journal of Science Education
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    • v.45 no.3
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    • pp.349-363
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    • 2021
  • The purpose of this study is to develop an instrument for school STEAM education diagnostic assessment. Literature reviews, the developmental study of a prototype instrument, experts' advices, and pilot study were administrated. The school STEAM education diagnostic assessment was consist of five areas: 'STEM education action and sustainability plan,' 'STEAM curriculum and instruction,' 'STEAM professional development,' 'process-based evaluation,' and 'community and partnerships.' Each area had one to five sub-areas. A total of 14 diagnosis items were developed, including items that can diagnose the school's STEAM environment base and STEAM education execution level at the school unit and member level for each area. The validation of the diagnostic assessment was conducted through the content validity of the expert group and the validity of a survey targeting school teachers. For applying the instrument for STEAM Education School Assessment to schools, a total of 267 elementary, middle, and high schools participated. As a result, the average of the five areas was 1.46 to 2.18. This instrument comprehensively diagnoses and evaluates the implementation and effectiveness of STEAM education in schools, and is expected to be used as basic data and core data for implementing STEAM education.

A COMPARISON OF THE DIAGNOSTIC ABILITY BETWEEN WATERS′ RADIOGRAPH AND COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF MIDFACIAL FRACTURE (안면중앙부 골절 진단시 전산화단층사진과 Waters 방사선사진의 진단능 비교)

  • Jeon In-Seong;Choi Soon-Chul
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.27 no.1
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    • pp.179-188
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    • 1997
  • This study was intended to compare the diagnostic ability between Waters' radiograph and CT in the diagnosis of midfacial fracture. The study group included 44 patients(male:32, female :12, age range :16-74 years old) with facial injury who underwent surgery. Waters' radiograph and both axial and coronal scanning were performed before surgery. Three oral radiologists and three non-oral radiologist interpreted 44 Waters' radiographs and 88 CT in three ways; 1) interpretation using Waters' radiograph only, 2) interpretation using CT only, 3) interpretation using Waters' radiograph and CT. The interpretation sites were confined to the walls of maxillary sinus; anterior, posterior, medial, lateral and superior wall. ROC curves were made with the findings during surgery as a gold standard except the posterior wall, where the joint evaluation of Waters' radiograph and CT by other three oral radiologists was used. ROC areas were compared according to the interpreting methods, the interpretation sites, and groups (R group ; oral radiologist group, N group ; non-oral radiologist group). The obtained results were as followed : 1. The diagnostic ability of CT only and Waters' radiograph and CT was higher than Waters' radiograph only in both groups(P<0.05). But there was no difference between CT only and Waters' radiograph and CT. 2. Generally, the diagnostic ability for the lateral antral wall was the highest and that for the posterior antral wall was the lowest in both groups(P<0.05). 3. In R group, for the anterior antral wall the diagnostic ability using CT only was increased but for the medial, lateral and superior antral walls the diagnostic ability was increased in only using Waters' radiograph and CT. 4. In N group, for the anterior and medial walls the diagnostic ability using CT only was increased. But for the posterior, lateral and superior antral walls there were no difference among three interpreting methods. 5. The diagnostic ability of R group was higher than N group in all interpreting methods.

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Analysis of Sarcopenia Using an Integrated Evaluation Tool : Targeting the elderly over 65 years of age in Korea (통합적 평가 도구를 활용한 근감소증 분석 : 국내 65세 이상 노인을 대상으로)

  • Chae-Rim Park;Hae-In Kim;Myung-Chul Kim
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.1
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    • pp.31-41
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    • 2023
  • Purpose : This study was conducted to identify the common characteristics of older persons with sarcopenia and to explore the relationship between gait, balance, and stress using an integrated assessment tool. Methods : In this study, 95 people aged 65 years or older were screened using the sarcopenia diagnostic evaluation algorithm presented by the Asian Working Group for Sarcopenia in 2019. Skeletal muscle index, grip strength, and short physical performance battery were used as sarcopenia evaluation measurements. Based on the results of this evaluation, participants were grouped into the 'non-sarcopenia group' (41 participants) or the 'sarcopenia group' (54 participants). Participants underwent further assessment using an integrated evaluation tool capable of measuring gait, balance, and stress. Gait ability was evaluated using the timed up and go test, and balance ability was evaluated using the berg balance scale. And the stress of the last month was measured by modifying the stress index developed by a Korean researcher. Collected data were statistically analyzed using the independent t-test and Mann Whitney-U test. Results : The sarcopenia group and the non-sarcopenia group showed significant differences in all elements of the sarcopenia diagnostic evaluation. There were significant differences in all three integrated evaluation tools. For the evaluation of walking ability, the time measured in the timed up and go test was longer in the sarcopenia group, the berg balance scale score for the evaluation of balance ability was lower in the sarcopenia group, and the stress index was higher in the sarcopenia group. Conclusion : Through sarcopenia analysis using an integrated evaluation tool, it was confirmed that sarcopenia is closely related to decreased walking ability, poor balance, and increased stress. We recommend using this tool to reduce the risk of sarcopenia progression and stress exposure through the planning and implementation of an exercise program for sarcopenia prevention.

Diagnostic Evaluation on the Riparian Vegetation in the Changwon and Nam Streams for Preparing a Restoration Plan (창원천과 남천의 생태적 복원을 위한 식생 측면의 진단평가)

  • An, Ji Hong;Lim, Chi Hong;Jung, Song Hie;Kim, A Reum;Woo, Dong Min;Lee, Chang Seok
    • Journal of Korean Society on Water Environment
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    • v.32 no.5
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    • pp.475-491
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    • 2016
  • The Changwon and Nam streams that run through the Changwon city were evaluated based on longitudinal and horizontal configurations and vegetation state in order to prepare a restoration plan. Riparian vegetation of the Changwon and Nam streams are normally dominated by herbaceous plants. However, the woody plants, Salix pseudolasiogyne, Rubus parvifolius, Salix koreensis, Robinia pseudoacacia, and Amorpha fruticosa have appeared. Planting to introduce various types of plants for landscape architecture has also been observed. Evaluation of naturalness based on the vegetation state of both Changwon and Nam streams showed very low naturalness of degree 1 or 2, with the exception of a few reaches of the upstream sector. In these few reaches of the upstream sector, Salix koreensis and Salix chaenomeloides showed heights at the subtree level, however, they were located at the position of shrubland close to the waterway. These reaches were, therefore, evaluated as degree 3 rather than degree 4 in naturalness. The result of diagnostic evaluation classified by reach indicated the requirement for active restoration, such as transformation of the channelized stream into a meandering one and a step-type cross section into a pool-type one, introduction of vegetation suitable to the region and site, and creation of an ecological network between the stream and the surrounding terrestrial ecosystems.