• 제목/요약/키워드: Diagnostic error

검색결과 220건 처리시간 0.039초

MRI와 Relaxogram을 이용한 지질 연구의 새로운 기법에 관한 연구 (Combined MRI and Relaxogram: A New Method of Fat Study)

  • Yongmin Chang;Yoo, Done-Sik;Kim, Tae-Hun;Kim, Yong-Joo;Kang, Duk-Sik;Robert B. Clarkson
    • 한국의학물리학회지:의학물리
    • /
    • 제10권1호
    • /
    • pp.23-32
    • /
    • 1999
  • 자기공명영상과 relaxogram 기법을 통합적으로 운용하는 새로운 기법을 도입하여 인체나 생체에서의 지방성분을 연구하는데 매우 우수한 기법을 개발하고자 하였다. 본 기법을 검증하기 위하여 미리 성분비를 알고 있는 phantom들을 제작하여 자기공명영상과 역 라플라스 변환에 기초한 CONTIN 기법을 적용하였다. phantom 들은 근육내에 미세한 형태로 존재하는 지질을 모방하도록 제작하였으며 정확한 분석을 위해 400 MHz NMR 장비를 이용하여 혼합된 두 물질의 양성자 스핀 밀도의 차이를 먼저 분석하여 성분비 계산시 보정인자로 사용하였다. 자기공명영상은 스핀반향기법을 사용하여 반복시간 (TR)을 달리하며 45개의 영상을 획득하였고 얻어진 영상들은 CONTIN 기법을 사용하여 분석하였다. 분석 결과로 얻어진 relaxogram 으로부터 스핀이완시간의 분포 및 상대적인 성분비를 계산하였다. 스핀밀도의 차이를 보정한 후의 실제 성분비와 본 기법으로부터 계산된 성분비는 $\pm$7% 오차내에서 서로 잘 일치하는 결과를 보였다. 결론적으로 자기공명영상과 relaxogram 기법을 통합적으로 운용하는 경우 자기공명영상의 대조도만으로는 분석이 불가능한 미 세 지질의 함량 및 분포를 매우 우수한 정확도를 가지고 분석할 수 있을 것으로 사료된다.

  • PDF

병원 등급에 따른 X선조사야와 광조사야 간의 면적 및 중심점 오차 비교 (Comparison of Center Error or X-ray Field and Light Field Size of Diagnostic Digital X-ray Unit according to the Hospital Grade)

  • 이원정;송규리;신현이
    • 한국방사선학회논문지
    • /
    • 제14권3호
    • /
    • pp.245-252
    • /
    • 2020
  • 본 연구에서는 병원 등급에 따른 X선조사야와 광조사야 간의 면적 차이와 중심점 오차를 측정하여 비교함으로써 피폭을 낮추고 화질 향상을 위해 정도관리의 중요성을 인식하고자 하였다. 00광역시에 소재한 10개 병원의 디지털 일반촬영장치 12대를 대상으로 X선조사야와 광조사야의 중심점을 측정하였다. 병원 등급별로는 대학병원(university hospital) 3대, 종합병원(general hospital) 3대, 병원(hospital) 4대, 의원(clinic)에서 2대를 실시하였다. 표준화된 모눈종이 위에 투명 플라스틱판을 붙인 후 철사(0.8mm)를 이용하여 각각 다른 넓이로 팬텀을 제작하였고, 팬텀 중앙에 철사로 중심을 표시하였다. 디지털 일반촬영장치 테이블 위에 팬텀을 위치시킨 후 수직으로 각 조사야 별로 노출 시킨 후 영상을 얻었다. 모든 영상은 SSD 100cm에서 동일한 노출 조건으로 획득하였고, 의료영상저장전송시스템(PACS, picture archiving communication system)을 이용하여 조사야 및 오차 길이를 측정하고 비교하였다. 측정 데이터는 평균과 표준오차로 나타낸 후 SPSS ver. 22.0을 이용하여 분석하였다. 의원이 X선조사야와 광조사야 간에 면적차이가 가장 적었고, 그다음 대학병원, 병원, 종합병원이 가장 컸다. 중심점 오차가 가장 적은 대학병원을 기준으로 의원 간에 통계학적인 유의한 중심점 오차 차이를 보였다(p=0.024). 중심점 오차는 36개월 미만 그룹이 36개월 그룹보다 통계학적으로 유의하게 적은 오차를 보였다(0.26 vs. 0.88, p=0.036). X선조사야와 광조사야 간에 면적 차이는 의원이 가장 적었고, 중심점 오차는 대학병원이 가장 적었다. 또한, 정도관리 후 사용기간이 짧은 병원이 중심점 오차가 적은 것으로 나타나 정도관리 항목에 따른 수시정도관리 도입이 필요하였다.

Damage detection of mono-coupled multistory buildings: Numerical and experimental investigations

  • Xu, Y.L.;Zhu, Hongping;Chen, J.
    • Structural Engineering and Mechanics
    • /
    • 제18권6호
    • /
    • pp.709-729
    • /
    • 2004
  • This paper presents numerical and experimental investigations on damage detection of mono-coupled multistory buildings using natural frequency as only diagnostic parameter. Frequency equation of a mono-coupled multistory building is first derived using the transfer matrix method. Closed-form sensitivity equation is established to relate the relative change in the stiffness of each story to the relative changes in the natural frequencies of the building. Damage detection is then performed using the sensitivity equation with its special features and minimizing the norm of an objective function with an inequality constraint. Numerical and experimental investigations are finally conducted on a mono-coupled 3-story building model as an application of the proposed algorithm, in which the influence of modeling error on the degree of accuracy of damage detection is discussed. A mono-coupled 10-story building is further used to examine the capability of the proposed algorithm against measurement noise and incomplete measured natural frequencies. The results obtained demonstrate that changes in story stiffness can be satisfactorily detected, located, and quantified if all sensitive natural frequencies to damaged stories are available. The proposed damage detection algorithm is not sensitive to measurement noise and modeling error.

의학적 의사결정 지표의 고찰 및 해석에 기초한 품질통계기법의 적용 (Application of Quality Statistical Techniques Based on the Review and the Interpretation of Medical Decision Metrics)

  • 최성운
    • 대한안전경영과학회지
    • /
    • 제15권2호
    • /
    • pp.243-253
    • /
    • 2013
  • This research paper introduces the application and implementation of medical decision metrics that classifies medical decision-making into four different metrics using statistical diagnostic tools, such as confusion matrix, normal distribution, Bayesian prediction and Receiver Operating Curve(ROC). In this study, the metrics are developed based on cross-section study, cohort study and case-control study done by systematic literature review and reformulated the structure of type I error, type II error, confidence level and power of detection. The study proposed implementation strategies for 10 quality improvement activities via 14 medical decision metrics which consider specificity and sensitivity in terms of ${\alpha}$ and ${\beta}$. Examples of ROC implication are depicted in this paper with a useful guidelines to implement a continuous quality improvement, not only in a variable acceptance sampling in Quality Control(QC) but also in a supplier grading score chart in Supplier Chain Management(SCM) quality. This research paper is the first to apply and implement medical decision-making tools as quality improvement activities. These proposed models will help quality practitioners to enhance the process and product quality level.

GIS 예방진단시스템 주파수 분석장치 성능개선 및 검증 (Performance verification and improvement of the frequency analysis unit for GIS Preventive & Diagnostic Monitoring System)

  • 김원규;김민수;백영식
    • 전기학회논문지
    • /
    • 제64권3호
    • /
    • pp.485-491
    • /
    • 2015
  • This paper shows the design improvement and test model of FAU (Frequency Analysis Unit) in PDD (Partial Discharge Diagnosis system) for 800kV GIS (Gas Insulated Switchgear). We found some problems during operation of previous FAU, such as the aging of fiber-optic converter that can cause communication error, the malfunction of signal analysis circuit etc. And then we solved those problems by design improvement and verified the performance through type test. To monitor partial discharge, the performance of UHF sensor is important but the performance of frequency analysis unit is also very important. So we solved communication error, the malfunction of signal analysis circuit and then increased the operation reliability of FAU by improving fiber-optic converter and signal analysis circuit. Accredited testing laboratory carried out the performance verification test according to performance test criteria and procedure of reliability test standards, IEC-60225, 61000 and 60068 etc. We confirmed the test results which correspond with the performance test criteria.

Estimation of Compressive Strength of Reinforced Concrete Structure Using Impact Testing Method and Rebound Hardness Method

  • Hong, Seonguk;Kim, Seunghun;Lee, Yongtaeg;Jeong, Jaewon;Lee, Changyong;Park, Chanwoo
    • Architectural research
    • /
    • 제20권4호
    • /
    • pp.137-145
    • /
    • 2018
  • The nondestructive test is widely used in the field of diagnosis and maintenance to evaluate the degree of damaging of structures caused by aging, and the demand for this test method is expected to continue increasing. However, there is a lack of standards related to the nondestructive test, and South Korea is relying heavily on developed nations for original technologies related to diagnosis. It is an urgent task to establish a nondestructive test method appropriate for the circumstance of South Korea. The purpose of this study is to compare and analyze estimated error of compressive strength in single-story structures comprised of vertical and horizontal reinforced concrete members using the impact testing method and rebound hardness method, which are nondestructive test methods, and to review on-site applicability of these methods. Based on compressive strength of the structures estimated, overall mean error was 21.2% for the impact testing method and 15.6% for the rebound hardness method. The necessity of a reliable diagnostic method based on compound nondestructive test methods to increase accuracy of estimation was confirmed.

Support vector ensemble for incipient fault diagnosis in nuclear plant components

  • Ayodeji, Abiodun;Liu, Yong-kuo
    • Nuclear Engineering and Technology
    • /
    • 제50권8호
    • /
    • pp.1306-1313
    • /
    • 2018
  • The randomness and incipient nature of certain faults in reactor systems warrant a robust and dynamic detection mechanism. Existing models and methods for fault diagnosis using different mathematical/statistical inferences lack incipient and novel faults detection capability. To this end, we propose a fault diagnosis method that utilizes the flexibility of data-driven Support Vector Machine (SVM) for component-level fault diagnosis. The technique integrates separately-built, separately-trained, specialized SVM modules capable of component-level fault diagnosis into a coherent intelligent system, with each SVM module monitoring sub-units of the reactor coolant system. To evaluate the model, marginal faults selected from the failure mode and effect analysis (FMEA) are simulated in the steam generator and pressure boundary of the Chinese CNP300 PWR (Qinshan I NPP) reactor coolant system, using a best-estimate thermal-hydraulic code, RELAP5/SCDAP Mod4.0. Multiclass SVM model is trained with component level parameters that represent the steady state and selected faults in the components. For optimization purposes, we considered and compared the performances of different multiclass models in MATLAB, using different coding matrices, as well as different kernel functions on the representative data derived from the simulation of Qinshan I NPP. An optimum predictive model - the Error Correcting Output Code (ECOC) with TenaryComplete coding matrix - was obtained from experiments, and utilized to diagnose the incipient faults. Some of the important diagnostic results and heuristic model evaluation methods are presented in this paper.

측두하악관절의 초음파영상과 자기공명영상에서 하악과두 외측면과 관절낭간 거리 측정치 비교 (Comparison of the capsular width measured on ultrasonogrape and MR image of the temporomandibular joint)

  • 이태완;유동수;한원정;김은경
    • Imaging Science in Dentistry
    • /
    • 제36권1호
    • /
    • pp.41-48
    • /
    • 2006
  • Purpose : To evaluate the reliability and clinical usefulness of ultrasonography in the temporomandibular joint (TMJ). Materials and Methods : Parasagittal and paracoronal 1.5 T MR images and 7.5 MHz ultrasonographs of 40 TMJs in 20 asymptomatic volunteers were obtained. Disc position using MR imaging was evaluated and the distance between the lateral surface of mandibular condyle and the articular capsule using MR image and ultrasonograph of 27 TMJs with normal disc position was measured and compared. Intraobserver and interobserver measurements reliability was evaluated by using interclass correlation coefficients (ICC) and measurement error. Also, the distance measured on ultrasonographs was compared, according to mouth position and disc postion. Results : The normal disc position was found in 27 of 40 asymptomatic joints. At the intraobserver reliability of measurement, ICC at the closed and open mouth position were 0.89 and 0.91. The measurement error was 0.4% and 0.5%. At the interobserver reliability, ICC at the closed and open mouth position were 0.92 and 0.81. The measurement error was 0.4% and 0.7%. At the TMJ with normal disc position, the distances between the lateral surface of mandibular condyle and the articular capsule measured on MR images and ultrasonographs were $2.0{\pm}0.7mm,\;1.8{\pm}0.5mm$, respectively (p<0.05). On the ultrasonographs, the distances at open mouth position were $1.2{\pm}0.5mm$ (p<0.05). At the TMJ with medially displaced disc, the distances at the closed and open mouth position were $1.3{\pm}0.3\;mm\;and\;0.9{\pm}0.2\;mm$ (p<0.05). Conclusion : The results suggest ultrasonography of TMJ is a reliable imaging technique for assessment of normal disc position.

  • PDF

Cone beam computed tomography로 합성된 두부규격 방사선사진에서의 각 계측점의 정확도와 재현성에 관한 연구 (Accuracy and reproducibility of landmark of cone beam computed tomography (CT) synthesized cephalograms)

  • 권대근;민승기;전인철;팽준영
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • 제36권2호
    • /
    • pp.78-86
    • /
    • 2010
  • Introduction: Cone beam computed tomography (CBCT) has various advantages and is used favorably in many fields in dentistry. Especially, CBCT is being used as basic diagnostic tool for 3-dimensional analysis in orthognathic patient. Two-dimensional cephalograms can be synthesized from CBCT digital imaging and communications in medicine (DICOM) data. In this study, conventional cephalograms and CBCT were taken simultaneously, and representative landmarks were located and analyzed in its accuracy and reproducibility. Materials and Methods: Ten patients who had orthognathic surgery in Wonkwang University Daejeon Dental Hospital participated in this study. For each patient, CBCT and conventional cephalogram was taken. By using Ondemand (Cybermad, Korea), 2-dimensional cephalograms was established on CBCT. In addition, 19 landmarks were designated and measured by 3 orthodontists twice a week. After these landmarks were transferred to a coordinate, distance of landmark and axis, standard error, distribution degree were measured, compared and analyzed. Results: Comparing the CT ceph group and conventional cephalogram group, CT ceph group had shown shorter distance of landmark and axis in S, Hinge axis, Bpt, Ba, Or, Corpus left. Standard error of the mean shows that CT ceph group has better reproducibility in Or, Corpus left, Hinge axis at X axis and Na, U1R, U1T, Bpt, PNS, Ba Corpus left, Hinge axis at Y axis. In both groups, mean error was less than 1.00 mm, no significant difference were found between CT ceph group and conventional cephalogram group in all measurements. Furthermore, comparing two groups, each 17 landmarks out of 19 had its characteristic in distribution degree. Conclusion: No significant difference were found between CBCT composed cephalographic radiograph and conventional cephalograghic radiograph, clinical application may be possible if improved.

Study on Validity and Reliablity of the Cutoff Probe and Langmuir Probe via Comparative Experiment in the Processing Plasma

  • Kim, D.W.;You, S.J.;You, K.H.;Lee, J.W.;Kim, J.H.;Chang, H.Y.;Oh, W.Y.
    • 한국진공학회:학술대회논문집
    • /
    • 한국진공학회 2013년도 제44회 동계 정기학술대회 초록집
    • /
    • pp.576-576
    • /
    • 2013
  • Recently, diagnostics of plasma becomes more important due to requirement of precise control of plasma processing based on measurement of plasma characteristics. The Langmuir probe has been used for the diagnostics but it has an inevitable uncertainty and error sources such as incorrect tip length and RF noise. Instead of the Langmuir probe, various diagnostic methods have been developed and researched. The cutoff probe is promising one for plasma density using microwaves and resonance phenomenon at the plasma frequency. The cutoff probe has various advantages as follows; (i) it is simple and robust, (ii) it uses few assumptions, and (iii) it is free from deposition by reactive gas. However, the cutoff probe also has uncertainty and error sources such as gap between tips, tip length, direction of tip plane, and RF noise. In this study, the uncertainty and error sources in manufacturing both probes and in diagnostics process were analyzed via comparative experiment at various discharge conditions. Furthermore, to reveal the user dependence of both probes, three well trained Ph. D students made the Langmuir probe and the cutoff probe, respectively, and it were analyzed. Thought this study, it is established that reliability and validity of the Langmuir probe and the cutoff probe related with not only the intrinsic characteristics of probes but also probe user.

  • PDF