• 제목/요약/키워드: Dual specificity

검색결과 77건 처리시간 0.033초

자궁경부 이형성증과 암의 진단을 위한 액상세포 검체에서 p16INK4a/Ki-67 이중면역염색의 평가 (Evaluation of p16INK4a/Ki-67 Dual Immunostaining in Liquid-based Cytology for Diagnosis of Uterine Cervical Dysplasia and Cancer)

  • 성미희;이훈택;신민식;오서영;김욱연
    • 대한임상검사과학회지
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    • 제47권3호
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    • pp.132-139
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    • 2015
  • 최근 $p16^{INK4a}$/Ki-67 이중면역염색은 액상세포검사에서 자궁경부 이형성증과 암을 조기에 발견하기 위한 새로운 생체 표지자로 대두되고 있다. 저자들은 자궁경부질도말의 액상세포검체 총 109례에서 CINtec$^{(R)}$ PLUS kit를 사용하여 $p16^{INK4a}$/Ki-67 이중면역염색을 시행하였고, 그 결과를 액상세포검사, HPV hybrid capture II (HC II) 검사 그리고 조직학적 진단과 서로 비교하였다. $p16^{INK4a}$/Ki-67 양성 발현은 세포학적 진단에서 저등급 편평상피내병변 이상의 증례 그리고 조직학적 진단에서 자궁경부 상피내종양 1등급 이상의 증례에서 유의미하게 높았다. 액상세포검사상 비정형 편평 상피세포 소견을 보이는 46례 중, 31례 (67.4%)가 $p16^{INK4a}$과 Ki-67 양성 소견을 보였고, 이러한 양성 증례들은 조직검사에서도 대부분 자궁경부 상피내종양 1등급 이상의 병변에 해당하였다. 자궁경부 상피내종양 1등급 이상의 병변을 발견하기 위한 $p16^{INK4a}$/Ki-67 이중면역염색의 민감도는 액상세포검사보다 높은 89.0%였고, 특이도는 73.5%로 HC II 검사보다 높게 분석되었다. 따라서, $p16^{INK4a}$/Ki-67 이중면역염색 방법은 액상세포검사법의 민감도와 HC II 검사법의 특이도를 보완하기 위한 진단적 검사로 유용하다고 할 수 있다.

췌장암 Dual Time Point PET/CT 검사에서 Scan Position Change의 유용성 평가 (Usefulness of Scan Position Change on Dual Time Point PET-CT in Pancreas Cancer)

  • 장보석;김재호
    • 한국방사선학회논문지
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    • 제10권5호
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    • pp.299-305
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    • 2016
  • 의료장비와 기술의 발달에도 불구하고 췌장암만 유일하게 기타 암질환과 비교하면 오진률이 높고 생존률이 낮은 질환이다. 따라서 췌장암은 조기 발견만이 생존율을 높일 수 있는 유일한 방법이며 췌장암의 정확한 위치를 찾는 것이 중요하다. Dual Point PET/CT 검사를 이용해서 췌장암의 조기 발견을 위한 최적의 Scan method를 제안하였다. PET/CT 검사의 Supine position에서 놓칠 수 있는 해부학적 영역을 환자의 position을 $0^{\circ}$, $30^{\circ}$, $45^{\circ}$, $60^{\circ}$ $75^{\circ}$ 변화에 따른 영상의 특징 및 유효성을 분석하였다. 그 결과 $90^{\circ}$ lateral recumbent position Scan에서 Pancreas tail 판별의 유용성을 발견하였다. Dual Point PET/CT 검사에서 상복부 특히 해부학적 구조상 췌장처럼 인접 장기와 중첩이 있는 경우, 췌장암이 의심될 때 PET/CT 지연검사에서 환자에게 충분한 수분섭취를 한 후 환자의 Position을 테이블과 수직 상태로 돌려 Lt 또는 Rt lateral Recumbent position 상태에서 PET/CT Scan을 시행하므로 위장, 간, 담낭 십이지장, 췌장 등의 장기를 이격시켜 해부학적 판별에 이점을 주는 검사방법 (JJ-Projection: lateral recumbent position scan)을 개발하였다. ROC curve 분석에서 JJ-Projection방법이 기존의 Supine scan 방식에서 얻은 영상보다 민감도가 95.2% 나타났다. 이것은 기존의 검사방식과 비교해볼 때 4.6 % 증가 하였다. 특이도는 87.5%로 6.9% 증가하였다. 조직검사로 생물학적 암으로 확정된 결과치와 비교해 볼 때 정확도는 94.1%로 기존 방식 86%에 비해 8.41 % 증가하였다. 그러므로 Dual Time Point PET/CT를 이용한 췌장암 판별 검사를 할 때 Delay scan에서 lateral recumbent position로 변경해서 Scan 하는 것이 기존의 일반적인 방법인 Supine position Scan보다 췌장암 조기 판별에 유용한 정보를 줄 수 있을 것으로 사료된다.

갑상선암 수술 전 진단목적의 $^{18}F$-FDG PET/CT Dual Time Point영상에서 SUV값과 방사능 농도 측정법의 유용성 평가 (The Preoperative Diagnosis of Thyroid Cancer in $^{18}F$-FDG PET/CT Dual Time Imaging of SUV and Evaluation of Radioactivity Measurement)

  • 이현국;강현수;양승오;한만석
    • 핵의학기술
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    • 제16권2호
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    • pp.99-105
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    • 2012
  • Purpose : This study is designed to compare two parameters reflecting $^{18}F$-FDG uptake, SUV and radioactivity, for diagnosis of thyroid cancer in dual time $^{18}F$-FDG PET/CT imaging and to find which parameter is more useful to decide whether the tumor is malignant or not. Materials and Methods : We performed retrospective study for 40 patients. All patients are diagnosed as primary thyroid cancer and examined $^{18}F$-FDG PET/CT. First, we got the dispersion of scattering beam of neck and lung apex to set a background and compared each dispersion, mean value, standard deviation of maxSUV and radioactivity. Also, mean maxSUV, ${\Delta}maxSUV$, ${\Delta}maxBq$/ml(%) and radioactivity between groups according to lesion's size based on biopsy are compared with independent-sample t-test. Results : the values that were from maxSUV and radioactivity measurement technique were compensated and calculated to practical values for mean comparison and patients were divided to two groups based on tumor size, Group1 ($size{\leq}1$ cm, n=21), Group2 (size>1 cm, n=19) for accurate comparison. In Group1, maxSUV (semi-quantitative analysis) was increased from $5.64{\pm}5.85$ (1.89~17.84) at first image to $5.90{\pm}5.01$ (1.95~18.22) at second image and radioactivity (Bq/ml) (quantitative analysis) showed similar increase from $5.93{\pm}6.38$ (2.50~16.75) at first image to $6.01{\pm}5.25$ (2.66~16.58) at second image. In Group2, TFmaxSUV was $10.54{\pm}14.36$ (2.54~33.89) in true first image, TSmaxSUV was $9.85{\pm}12.88$ (2.62~26.20) in true second image separately. The maxSUV showed a significant difference in the mean comparison between the two groups (p=0.035) But, mean radioactivity (Bq/ml) was $5.93{\pm}6.38$ (4.81~40.99) in true first image, $6.01{\pm}5.25$ (4.51~36.93) in true second image and didn't show a significant difference statistically (p=0.126) Conclusion : In diagnosis of thyroid tumor, SUV and radioactivity depending on $^{18}F$-FDG uptake showed high similarity with coefficient of determination (R2=0.939) and malignant evaluation results using dual time also showed similar aspect. Radioactivity for evaluation of malignant tumor didn't show better specificity or sensitivity than maxSUV.

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Observability, Job-Match, and Segmentation of Labor Markets

  • Kim, Young-Chul
    • 노동경제논집
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    • 제19권2호
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    • pp.161-174
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    • 1996
  • Much of the dual labor markets literature is devoted to exploring the reasons as th why the markets are segmented along the lines where the observed wage differentials are not a result of underlying skill differentials . ; and why otherwise comparable workers different the duration of their job tenure and incidence of unemployment. the logic of competitive economics denies the possibility of equally skilled workers being treated differently in labor markets. The model presented in this paper shows that workers could be segregated quite simply due to the structure of information and job-match quality, even though they are the same in terms of productivity. In general, the model predicts that observability of a worker's productivity and the extent of match specificity are key features of labor market segmentation. An important implication is that the negative from the past labor market experienes, sometimes called as hysteresis effect, helps to restrict mobility of workers among different sectors and results in perpetuation of unemployment in the secondary sector. The model also provides an explanation of the efficient wage scheme in the primary sector.

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Structure and catalytic mechanism of human protein tyrosine phosphatome

  • Kim, Seung Jun;Ryu, Seong Eon
    • BMB Reports
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    • 제45권12호
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    • pp.693-699
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    • 2012
  • Together with protein tyrosine kinases (PTKs), protein tyrosine phosphatases (PTPs) serve as hallmarks in cellular signal transduction by controlling the reversible phosphorylation of their substrates. The human genome is estimated to encode more than 100 PTPs, which can be divided into eleven sub-groups according to their structural and functional characteristics. All the crystal structures of catalytic domains of sub-groups have been elucidated, enabling us to understand their precise catalytic mechanism and to compare their structures across all sub-groups. In this review, I describe the structure and mechanism of catalytic domains of PTPs in the structural context.

Occurrence of Thioredoxin Reductase in Deinococcus Species, the UV resistant Bacteria

  • Seo Hee-Jeong;Lee Young-Nam
    • Journal of Microbiology
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    • 제44권4호
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    • pp.461-465
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    • 2006
  • The occurrence of thioredoxin reductase (NAD(P)H: oxidized-thioredoxin reductase, EC 1.6.4.5, TrxR) in five mesophilic species of Deinococcus was investigated by PAGE. Each species possessed a unique TrxR pattern, for example, a single TrxR characterized D. radiopugnans while multiple forms of TrxR occurred in other Deinococcal spp. Most of TrxRs occurring in Deinococcus showed dual cofactor specificity, active with either NADH or NADPH, although the NADPH specific-TrxR was observed in D. radiophilus and D. proteolytic us.

Saccharomyces cerevisiae의 균사형 생장에서 이중 특이성 인산화 효소, ScKns1p의 기능 분석 (Function of Dual Specificity Kinase, ScKns1, in Adhesive and Filamentous Growth of Saccharomyces cerevisiae)

  • 박윤희;양지민;양소영;김상미;조영미;박희문
    • 미생물학회지
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    • 제47권2호
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    • pp.110-116
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    • 2011
  • ScKns1는 Saccharomyces cerevisiae에서 발견되는 이중 특이성 인산화 효소이다. S288c 계열에서 $Sckns1{\Delta}$ 균주는 야생형과 차이를 보이지 않아, ScKns1의 세포 내 기능에 대해 밝혀지지 않았다. 그러나 분열 효모에서 LAMMER kinase는 세포 엉김과 균사형 생장 및 산화 스트레스와 관련된 것으로 밝혀졌다. 따라서 형태학적 변화를 관찰할 수 있는 S. cerevisiae ${\Sigma}1278b$ 균주에서 ScKNS1 결손균주($Sckns1{\Delta}$)를 제조하고 표현형 변화를 통하여 기능을 분석하였다. $Sckns1{\Delta}$ 균주는 균사형 생장을 유도하는 질소고갈 조건과 butanol 첨가 조건에서 균사형 생장의 결함을 보였으며, agar 표면의 부착생장도 감소하였다. 또한 $Sckns1{\Delta}$ 균주에 균사형 생장을 조절하는 MAPK 경로 유전자를 도입한 결과 RAS2와 STE20에 의해서는 균사형 생장 결함이 회복되지 않았으나, STE11, STE12와 TEC1에 의해서 결합이 회복되었다. 이러한 결과들은 S. cerevisiae에서도 LAMMER kinase가 MAPK 경로를 통하여 균사형 생장을 조절함을 시사한다.

천마(Gastrodia elata)로부터 분리한 VHR DS-PTPase 저해 물질 (The VHR Dual-Specificity Protein Tyrosine Phosphatase (DS-PTPase) Inhibitor Isolated from Gastrodia elata)

  • 이명선;오원근;배은영;안순철;손천배;히로유키 오사다;안종석
    • 한국식품과학회지
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    • 제34권3호
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    • pp.505-509
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    • 2002
  • 천마의 methanol 추출물로부터 VHR DS-PTPase 저해 물질을 분리하여 이를 HREI-MS와 $^1H-NMR$, $^{13}C-NMR$, DEPT 등의 기기 분석 자료에 의하여 baicalein으로 구조를 동정 하였다. 이 물질은 VHR에 대하여 $2.4{\mu}M$$IC_{50}$값을 나타내었고 T-cell PTPase나 PPase 1과 같은 다른 단백질 탈인산화 효소에 대하여는 저해 활성을 나타내지 않았다. 또한 7종류의 인간 암세포주(흑색종 세포주인 LOX-IMVI, 폐암 세포주인 NCI H23과 A549, 대장암 세포주인 HCT 116와 SW 620, 전립선암 세포주인 PC-3와 백혈병 세포주인 MOLT 4F)에 대한 세포독성을 조사하여 본 결과 $5.26{\sim}12.93\;{\mu}g/mL$에서 $GI_{50}$값을 나타내었다.

Osteoporosis prediction from the mandible using cone-beam computed tomography

  • Barngkgei, Imad;Haffar, Iyad Al;Khattab, Razan
    • Imaging Science in Dentistry
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    • 제44권4호
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    • pp.263-271
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    • 2014
  • Purpose: This study aimed to evaluate the use of dental cone-beam computed tomography (CBCT) in the diagnosis of osteoporosis among menopausal and postmenopausal women by using only a CBCT viewer program. Materials and Methods: Thirty-eight menopausal and postmenopausal women who underwent dual-energy X-ray absorptiometry (DXA) examination for hip and lumbar vertebrae were scanned using CBCT (field of view: $13cm{\times}15cm;$ voxel size: 0.25 mm). Slices from the body of the mandible as well as the ramus were selected and some CBCT-derived variables, such as radiographic density (RD) as gray values, were calculated as gray values. Pearson's correlation, one-way analysis of variance (ANOVA), and accuracy (sensitivity and specificity) evaluation based on linear and logistic regression were performed to choose the variable that best correlated with the lumbar and femoral neck T-scores. Results: RD of the whole bone area of the mandible was the variable that best correlated with and predicted both the femoral neck and the lumbar vertebrae T-scores; further, Pearson's correlation coefficients were 0.5/0.6 (p value=0.037/0.009). The sensitivity, specificity, and accuracy based on the logistic regression were 50%, 88.9%, and 78.4%, respectively, for the femoral neck, and 46.2%, 91.3%, and 75%, respectively, for the lumbar vertebrae. Conclusion: Lumbar vertebrae and femoral neck osteoporosis can be predicted with high accuracy from the RD value of the body of the mandible by using a CBCT viewer program.

연령과 골소주 특성의 골량에 대한 연관관계 (Relationship of bony trabecular characteristics and age to bone mass)

  • 최동훈;송영한;윤영남;이완;이병도
    • Imaging Science in Dentistry
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    • 제36권2호
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    • pp.95-101
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    • 2006
  • Purpose : Bony strength is dependent on bone mass and bony structure. So this study was designed to investigate the relationship between the bone mass and bony trabecular characteristics. Subjects and Methods : Study subjects were 51 females (average age 68.6 years) and 20 males (average age 66.4 years). Bone mineral density (BMD, $grams/cm^2$) of proximal femur was measured by a dual energy X-ray absorptiometry (DEXA). Regions of interest (ROIs) were selected from the digitized radiographs of proximal femur. A customized computer program processed morphologic operations (MO) of ROIs. 44 skeletal variables of MO were calculated from ROIs on the Ward's triangle and greater trochanter of femur. WHO BMD classes were predicted by MO variables of the same ROI. Classification and Regression Tree analysis was used for calculating weighted kappa values, sensitivity and specificity of MO. Results : The discriminating factors of morphologic operation were branch point, branch point [per cm sq]. Age also played important role in distinguishing osteoporotic classes. The sensitivity of MO at Ward's triangle and Greater Trochanter was 91.8%, 65.6%, respectively. The specificity of MO was 100% at Ward's triangle and Greater Trochanter. Conclusion : Bony trabecular characteristics obtained using radiological bone morphometric analysis seem to be related to bone mass.

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