• 제목/요약/키워드: Diagnostic Study

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

  • 전인성;최순철
    • 치과방사선
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    • 제27권1호
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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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Diagnostic performance of cone-beam computed tomography on detection of mechanically-created artificial secondary caries

  • Charuakkra, Arnon;Prapayasatok, Sangsom;Janhom, Apirum;Pongsiriwet, Surawut;Verochana, Karune;Mahasantipiya, Phattaranant
    • Imaging Science in Dentistry
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    • 제41권4호
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    • pp.143-150
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    • 2011
  • Purpose : The aim of this study was to compare the diagnostic accuracy of cone-beam computed tomography (CBCT) images and bitewing images in detection of secondary caries. Materials and Methods : One hundred and twenty proximal slots of Class II cavities were randomly prepared on human premolar and molar teeth, and restored with amalgam (n=60) and composite resin (n=60). Then, artificial secondary caries lesions were randomly created using round steel No. 4 bur. The teeth were radiographed with a conventional bitewing technique and two CBCT systems; Pax-500ECT and Promax 3D. All images were evaluated by five observers. The area under the receiver operating characteristic (ROC) curve ($A_z$) was used to evaluate the diagnostic accuracy. Significant difference was tested using the Friedman test (p value<0.05). Results : The mean $A_z$ values for bitewing, Pax-500ECT, and Promax 3D imaging systems were 0.882, 0.995, and 0.978, respectively. Significant differences were found between the two CBCT systems and film (p=0.007). For CBCT systems, the axial plane showed the greatest $A_z$ value. Conclusion : Based on the design of this study, CBCT images were better than bitewing radiographs in detection of secondary caries.

Consistency check algorithm for validation and re-diagnosis to improve the accuracy of abnormality diagnosis in nuclear power plants

  • Kim, Geunhee;Kim, Jae Min;Shin, Ji Hyeon;Lee, Seung Jun
    • Nuclear Engineering and Technology
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    • 제54권10호
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    • pp.3620-3630
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    • 2022
  • The diagnosis of abnormalities in a nuclear power plant is essential to maintain power plant safety. When an abnormal event occurs, the operator diagnoses the event and selects the appropriate abnormal operating procedures and sub-procedures to implement the necessary measures. To support this, abnormality diagnosis systems using data-driven methods such as artificial neural networks and convolutional neural networks have been developed. However, data-driven models cannot always guarantee an accurate diagnosis because they cannot simulate all possible abnormal events. Therefore, abnormality diagnosis systems should be able to detect their own potential misdiagnosis. This paper proposes a rulebased diagnostic validation algorithm using a previously developed two-stage diagnosis model in abnormal situations. We analyzed the diagnostic results of the sub-procedure stage when the first diagnostic results were inaccurate and derived a rule to filter the inconsistent sub-procedure diagnostic results, which may be inaccurate diagnoses. In a case study, two abnormality diagnosis models were built using gated recurrent units and long short-term memory cells, and consistency checks on the diagnostic results from both models were performed to detect any inconsistencies. Based on this, a re-diagnosis was performed to select the label of the second-best value in the first diagnosis, after which the diagnosis accuracy increased. That is, the model proposed in this study made it possible to detect diagnostic failures by the developed consistency check of the sub-procedure diagnostic results. The consistency check process has the advantage that the operator can review the results and increase the diagnosis success rate by performing additional re-diagnoses. The developed model is expected to have increased applicability as an operator support system in terms of selecting the appropriate AOPs and sub-procedures with re-diagnosis, thereby further increasing abnormal event diagnostic accuracy.

Use of "Diagnostic Yield" in Imaging Research Reports: Results from Articles Published in Two General Radiology Journals

  • Ho Young Park;Chong Hyun Suh;Seon-Ok Kim
    • Korean Journal of Radiology
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    • 제23권12호
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    • pp.1290-1300
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    • 2022
  • Objective: "Diagnostic yield," also referred to as the detection rate, is a parameter positioned between diagnostic accuracy and diagnosis-related patient outcomes in research studies that assess diagnostic tests. Unfamiliarity with the term may lead to incorrect usage and delivery of information. Herein, we evaluate the level of proper use of the term "diagnostic yield" and its related parameters in articles published in Radiology and Korean Journal of Radiology (KJR). Materials and Methods: Potentially relevant articles published since 2012 in these journals were identified using MEDLINE and PubMed Central databases. The initial search yielded 239 articles. We evaluated whether the correct definition and study setting of "diagnostic yield" or "detection rate" were used and whether the articles also reported companion parameters for false-positive results. We calculated the proportion of articles that correctly used these parameters and evaluated whether the proportion increased with time (2012-2016 vs. 2017-2022). Results: Among 39 eligible articles (19 from Radiology and 20 from KJR), 17 (43.6%; 11 from Radiology and 6 from KJR) correctly defined "diagnostic yield" or "detection rate." The remaining 22 articles used "diagnostic yield" or "detection rate" with incorrect meanings such as "diagnostic performance" or "sensitivity." The proportion of correctly used diagnostic terms was higher in the studies published in Radiology than in those published in KJR (57.9% vs. 30.0%). The proportion improved with time in Radiology (33.3% vs. 80.0%), whereas no improvement was observed in KJR over time (33.3% vs. 27.3%). The proportion of studies reporting companion parameters was similar between journals (72.7% vs. 66.7%), and no considerable improvement was observed over time. Conclusion: Overall, a minority of articles accurately used "diagnostic yield" or "detection rate." Incorrect usage of the terms was more frequent without improvement over time in KJR than in Radiology. Therefore, improvements are required in the use and reporting of these parameters.

전산화단층촬영실 방사선사의 VDT증후군 자각증상에 관한 연구 (A Study on the Subjective Symptoms of VDT Syndrom in Radiological Technologists at CT Room)

  • 임상묵;이병남;이강우
    • 대한방사선협회지
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    • 제29권1호
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    • pp.12-24
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    • 2003
  • Purpose : The aim of this study was to investigate the variables affecting video display terminal (VDT) syndrom and prevent the harm of VDT syndrom Materials and Methods : A questionnarie study was performed with 170 radiotechnologists working at CT room

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7구역진단기의 Factor AA의 유형분석과 임상지표와의 상관성 연구 (A Study on the Correlation between the Patterns of Factor AA in a 7-zone-diagnostic System and the Clinical Parameters)

  • 유정석;이휘용;이장원;장소영;차정호;이진석;송범용
    • Journal of Acupuncture Research
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    • 제24권6호
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    • pp.159-170
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    • 2007
  • Objectives : The 7-zone-diagnostic system is a diagnostic device to predetermine bodily locations by measuring the energy of a living body. This study was to investigate the relation between the different patterns of Factor AA in a 7-zone-diagnostic system and clinical parameters. The purpose of this study is to relate Korean traditional medicine and western medicine using the data from the 7-zone-diagnostic system and the clinical parameters. Methods : This study was carried out with the data from some clinical parameters. We made two groups according to the Factor AA patterns of VEGA-DFM 722, the 7-zone-diagnostic system The Factor AA patterns of Group A named hyperenergy is all the red bar graphs that arehigher than the normal range. The Factor AA patterns of Group B named hypoenergy is all the red bar graphs that are lower than the normal range. After the data from clinical parameters corresponding with conditions of each group were selected, the data from clinical parameters among each group was analyzed statistically. Results : The values of Weight, GOT, r-GTP, Uric acid and BMI of Group A are higher than those of Group B. The values of Sodium and Phosphorus of Group A are lower than those of Group B. Conclusions : To conclude, it is thought that Group A has a heat-excess type but Group B has colddeficient type.

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기혈음양의 허증에 대한 한의 진단 모델의 성립과 확장 (An Establishment and Extension of Diagnostic Concepts in Traditional Oriental Medicine; On chi shue yin yang)

  • 박경모
    • 동의생리병리학회지
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    • 제17권6호
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    • pp.1359-1367
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    • 2003
  • Through the historical and logical methodology, The historical development and extension of diagnostic concepts as chi(氣), shue(血), yin(陰), yang(陽) is analyzed. This study suggests the analystic methodology of diagnostic concepts, introduce the justification problem of oriental medical diagnosis, and is concluded with the problem of diagnostic concepts which should be modified and.