• 제목/요약/키워드: Diagnostic Model

검색결과 865건 처리시간 0.026초

디지털 방사선 환경에서 두부 방사선검사 시 진단참고수준 검사조건에 대한 고찰 (A Study on the Diagnostic Reference Level of Skull Radiography in Digital Radiography)

  • 정연진;주영철;홍동희;김상현
    • 한국방사선학회논문지
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    • 제16권7호
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    • pp.897-904
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    • 2022
  • 본 연구의 목적은 디지털 방사선 환경에서 두부 방사선검사 시 진단참고수준(DRL)에서 제시하는 검사 조건과 현재 임상에서 적용하고 있는 검사 조건 적용 시 선량과 화질의 차이 비교를 통해, 디지털 방사선환경에 적절한 두부 방사선검사의 조건에 대해 고찰하고자 한다. 본 연구는 두부모형팬텀을 대상으로 하였으며, 조사 조건은 임상에서 사용하는 조건(Clinic)과 DRL값(DRL75), DRL 평균값(DRLmean)으로 구분하여 실험하였다. 선량은 입사표면선량(ESD)을 측정하였고, 화질은 신호 대 잡음비와 대조도 대 잡음비를 측정하여 비교 분석하였다. 검사 조건 변화에 따른 skull AP ESD의 평균값은 Clinic 1214.03±4.21 µGy, DRL75 301 7.83±8.14 µGy, DRLmean 2283.50±7.09 µGy이었으며, skull Lat. ESD의 평균값은 Clinic 762.79±3.54 µGy, DRL75 2168.57±10.83 µGy, DRLmean 1654.43±6.48 µGy로 통계적으로 유의한 것으로 나타났다(p<0.01). 안와, 상악동, 전두동, 터키안장에서 측정한 SNR과 CNR의 평균값은 통계적으로 유의하였다(p<0.01). 본 연구 결과 임상에서 사용하는 조건이 DRL에 비해 AP는 약 58%, Lat.은 약 70% 정도의 낮은 선량 수치를 나타내었으며, 화질 측면에서 정성적인 차이가 없었다. 본 연구를 통해 디지털 방사선 환경에 적합한 새로운 진단참고수준에 대해 고려해 볼 필요가 있으며, 그에 따른 선량의 저감화가 이루어져야 할 것으로 사료된다.

전산화 방사선촬영(CR) 시스템을 이용한 근사적 의료 피폭 선량 평가 (Evaluation of Approximate Exposure to Low-dose Ionizing Radiation from Medical Images using a Computed Radiography (CR) System)

  • 우민선;이재승;임인철
    • 한국방사선학회논문지
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    • 제6권6호
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    • pp.455-464
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    • 2012
  • 본 연구는 일반 X선 검사에서 CR 시스템을 이용한 환자의 근사적 피폭 선량을 평가할 수 있는 실험적 모델을 제시하고 저선량 영역에서 의료 피폭에 대한 방어의 최적화 조건으로 환자의 선량 권고량(diagnostic reference level. DRL)을 비교하고자 하였다. 이를 위하여 기준선량계와 광자극발광선량계(optically stimulated luminescence dosimeters. OSLDs)를 이용하여 관전압(kVp) 및 관전류 노출시간의 곱(mAs)에 따른 입사표면선량(entrance surface dose. ESD)을 교차 측정하였으며 CR 시스템에서 각 노출 조건에 대한 Hounsfield unit (HU) scale을 측정하여 ESD와 HU 스케일에 대한 특성 관계를 이용하여 근사적 피폭 선량을 구하였다. 또한 임상적으로 적용 가능한지를 알기 위하여 두부, 경부, 흉부, 복부, 골반부 노출 조건으로 물 팬텀에 모사하여 피폭 선량을 구하였다. 결과적으로 두 선량계의 평균 ESD는 각각 2.10, 2.01, 1.13, 2.97, 1.95 mGy 이었으며 CR 영상에서 측정한 HU 스케일은 각각 $3,276{\pm}3.72$, $3,217{\pm}2.93$, $2,768{\pm}3.13$, $3,782{\pm}5.19$, $2,318{\pm}4.64$ 이었다. 이 때 ESD와 HU 스케일에 대한 특성 관계를 이용하여 근사적으로 구한 ESD는 각각 2.16, 2.06, 1.19, 3.05, 2.07 mGy이었으며 평균 측정값과 근사적으로 구한 ESD의 오차는 3% 미만으로 영상의학 분야의 측정 오차 5%를 감안한다면 신뢰할 수 있는 오차 범위라 할 수 있었다. 결론적으로 CR 시스템을 이용한 일반 X선 검사에서 환자의 피폭 선량을 근사적으로 평가할 수 있는 새로운 실험적 모델을 제시하였으며 CR 검사뿐 만 아니라 디지털 방사선촬영(digital radiography. DR) 시스템 및 필름-증감지 시스템에 적용 가능할 것으로 판단되었다.

Real-Time Automated Cardiac Health Monitoring by Combination of Active Learning and Adaptive Feature Selection

  • Bashir, Mohamed Ezzeldin A.;Shon, Ho Sun;Lee, Dong Gyu;Kim, Hyeongsoo;Ryu, Keun Ho
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제7권1호
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    • pp.99-118
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    • 2013
  • Electrocardiograms (ECGs) are widely used by clinicians to identify the functional status of the heart. Thus, there is considerable interest in automated systems for real-time monitoring of arrhythmia. However, intra- and inter-patient variability as well as the computational limits of real-time monitoring poses significant challenges for practical implementations. The former requires that the classification model be adjusted continuously, and the latter requires a reduction in the number and types of ECG features, and thus, the computational burden, necessary to classify different arrhythmias. We propose the use of adaptive learning to automatically train the classifier on up-to-date ECG data, and employ adaptive feature selection to define unique feature subsets pertinent to different types of arrhythmia. Experimental results show that this hybrid technique outperforms conventional approaches and is therefore a promising new intelligent diagnostic tool.

Difference in the Gut Microbiome between Ovariectomy-Induced Obesity and Diet-Induced Obesity

  • Choi, Sungmi;Hwang, Yu-Jin;Shin, Min-Jeong;Yi, Hana
    • Journal of Microbiology and Biotechnology
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    • 제27권12호
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    • pp.2228-2236
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    • 2017
  • During menopausal transition, the imbalance of estrogen causes body weight gain. Although gut microbiome dysbiosis has been reported in postmenopausal obesity, it is not clear whether there is any difference in the microbiome profile between dietary-induced obesity and postmenopausal obesity. Therefore, in this study, we analyzed intestinal samples from ovariectomized mice and compared them with those of mice with high-fat diet-induced obesity. To further evaluate the presence of menopause-specific bacteria-gene interactions, we also analyzed the liver transcriptome. Investigation of the 16S rRNA V3-V4 region amplicon sequence profile revealed that menopausal obesity and dietary obesity resulted in similar gut microbiome structures. However, Bifidobacterium animalis was exclusively observed in the ovariectomized mice, which indicated that menopausal obesity resulted in a different intestinal microbiome than dietary obesity. Additionally, several bacterial taxa (Dorea species, Akkermansia muciniphila, and Desulfovibrio species) were found when the ovariectomized mice were treated with a high-fat diet. A significant correlation between the above-mentioned menopause-specific bacteria and the genes for female hormone metabolism was also observed, suggesting the possibility of bacteria-gene interactions in menopausal obesity. Our findings revealed the characteristics of the intestinal microbiome in menopausal obesity in the mouse model, which is very similar to the dietary obesity microbiome but having its own diagnostic bacteria.

Rock physics modeling in sand reservoir through well log analysis, Krishna-Godavari basin, India

  • Singha, Dip Kumar;Chatterjee, Rima
    • Geomechanics and Engineering
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    • 제13권1호
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    • pp.99-117
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    • 2017
  • Rock physics modeling of sandstone reservoir from gas fields of Krishna-Godavari basin represents the link between reservoir parameters and seismic properties. The rock physics diagnostic models such as contact cement, constant cement and friable sand are chosen to characterize reservoir sands of two wells in this basin. Cementation is affected by the grain sorting and cement coating on the surface of the grain. The models show that the reservoir sands in two wells under examination have varying cementation from 2 to more than 6%. Distinct and separate velocity-porosity and elastic moduli-porosity trends are observed for reservoir zones of two wells. A methodology is adopted for generation of Rock Physics Template (RPT) based on fluid replacement modeling for Raghavapuram Shale and Gollapalli Sandstones of Early Cretaceous. The ratio of P-wave velocity to S-wave velocity (Vp/Vs) and P-impedance template, generated for this above formations is able to detect shale, brine sand and gas sand with varying water saturation and porosity from wells in the Endamuru and Suryaraopeta gas fields having same shallow marine depositional characters. This RPT predicted detection of water and gas sands are matched well with conventional neutron-density cross plot analysis.

Update on Irritable Bowel Syndrome Program of Research

  • Heitkemper, Margaret;Jarrett, Monica;Jun, Sang-Eun
    • 대한간호학회지
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    • 제43권5호
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    • pp.579-586
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    • 2013
  • Purpose: This article provides an update and overview of a nursing research program focused on understanding the pathophysiology and management of irritable bowel syndrome (IBS). Methods: This review includes English language papers from the United States, Europe, and Asia (e.g., South Korea) from 1999 to 2013. We addressed IBS as a health problem, emerging etiologies, diagnostic and treatment approaches and the importance of a biopsychosocial model. Results: IBS is a chronic, functional gastrointestinal disorder characterized by recurrent episodes of abdominal pain and alterations in bowel habit (diarrhea, constipation, mixed). It is a condition for which adults, particularly women ages 20-45, seek health care services in both the United States and South Korea. Clinically, nurses play key roles in symptom prevention and management including designing and implementing approaches to enhance the patients' self-management strategies. Multiple mechanisms are believed to participate in the development and maintenance of IBS symptoms including autonomic nervous system dysregulation, intestinal inflammation, intestinal dysbiosis, dietary intolerances, alterations in emotion regulation, heightened visceral pain sensitivity, hypothalamic-pituitary-adrenal dysregulation, and dysmotility. Because IBS tends to occur in families, genetic factors may also contribute to the pathophysiology. Patients with IBS often report a number of co-morbid disorders and/or symptoms including poor sleep. Conclusion: The key to planning effective management strategies is to understand the heterogeneity of this disorder. Interventions for IBS include non-pharmacological strategies such as cognitive behavior therapy, relaxation strategies, and exclusion diets.

오행침자법(五行鍼刺法) 원리 및 임상응용에 관한 연구 - II 임상응용에 관한 연구

  • 안창범;민영광;김정은;문혁철;송춘호;이장천;신상우
    • 대한약침학회지
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    • 제11권3호
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    • pp.33-45
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    • 2008
  • Objective: To review the clinical basis of the Sa-Ahm 5 Element acupuncture originated about 360 years ago, papers and books were researched. Methods: Total of 58 books and papers ranging from ancient Huang Di nei jing to modern Bio Medical Acupuncture for Pain Management were investigated to study the clinical practice of it. Results: It could be practiced differently depending upon the viewpoints of diagnosis. They are ranging from theories of the greater-less of Yin and Yang, 7 emotions, organs- visceras, 8 diagnostic criteria, and pulse diagnosis to meridian circulation. Conclusions: It needs to be set clinical guidelines by which to practice Sa-Ahm acupuncture though it is nowadays mostly-used method in accordance with practitioner's viewpoints.

다변수 메트릭 모델을 이용한 식장산 계곡천의 생태 건강성 평가 (Ecological Health Assessment of Mountainous Stream in Mt. Sik-Jang using Multi-metric Models)

  • 배대열;김유표;안광국
    • 한국물환경학회지
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    • 제24권2호
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    • pp.156-163
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    • 2008
  • This study was to introduce a methodology of ecological health assessment for efficient management and to provide some diagnostic results of the survey. We evaluated ecological health assessment at five sampling locations of Sikjang Mountainous Stream using the index of biological integrity (IBI) and Qualitative Habitat Evaluation Index (QHEI) during May - October 2006. The health condition, based on the IBI model, averaged 32 and varied from 27 to 37 depending on the sampling sites. Thus, the stream health was judged as "good" to "fair" conditions. IBI values showed slight differences between upstream and downstream sites. Whereas, QHEI values varied from 75 (fair condition) to 196 (excellent condition) and QHEI at St. 4~5, indicating the downstream reach had significantly lower than the headwater site (St.1). Regression analyses also showed that QHEI values had a linear decrease from the headwater to downstream. This result indicated that habitat quality was rapidly degradated by human influence. Overall, data of IBI and QHEI suggested that the stream health was maintained well in the present but the habitat and biological quality were partially degradated in the downstream. So, the human interference should be minimized to protect the downstream environment.

가우시안 포락선 선형 첩 신호의 순시 주파수 추정을 통한 원전 내 계측 케이블의 고장점 진단 연구 (Instantaneous Frequency Estimation of the Gaussian Enveloped Linear Chirp Signal for Localizing the Faults of the Instrumental Cable in Nuclear Power Plant)

  • 이춘구;박진배;윤태성
    • 전기학회논문지
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    • 제62권7호
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    • pp.987-993
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    • 2013
  • Integrity of the control and instrumental cables in nuclear power plant is important to maintain the stability of the nuclear power plants. In order to diagnose the integrity of the cables, the diagnostic methods based on reflectometry have been studied. The reflectometry is a non-destructive method and it is applicable to diagnose the live cables. We introduce a Gaussian enveloped linear chirp reflectometry to diagnose the cables in the nuclear power plants. In this paper, we estimate the instantaneous frequency of the Gaussian enveloped linear chirp signal by using the weighted robust least squares filtering to localize the impedance discontinuities in the class 1E instrumental cable.

Screening of Peptides Bound to Anthrax Protective Antigen by Phage Display

  • Kim, Joung-Mok;Park, Hye-Yeon;Choi, Kyoung-Jae;Jung, Hoe-Il;Han, Sung-Hwan;Lee, Jae-Seong;Park, Joon-Shik;Yoon, Moon-Young
    • Journal of Microbiology and Biotechnology
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    • 제16권11호
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    • pp.1784-1790
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    • 2006
  • Bacillus anthracis is a causative agent of anthrax. Anthrax toxins are composed of a protective antigen (PA), lethal factor (LF), and edema factor (EF), in which the PA is a central mediator for the delivery of the two enzymatic moieties LF and EF. Therefore, the PA has been an attractive target in the prevention and vaccinization for anthrax toxin. Recently, it has been reported that the molecule consisting of multiple copies of PA-binding peptide, covalently linked to a flexible polymer backbone, blocked intoxification of anthrax toxin in an animal model. In the present study, we have screened novel diverse peptides that bind to PA with a high affinity (picomolar range) from an M13 peptide display library and characterized the binding regions of the peptides. Our works provide a basis to develop novel potent inhibitors or diagnostic probes with a diverse polyvalence.