• Title/Summary/Keyword: Dynamic diagnosis

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Subluxation of the Long Head Biceps Tendon Diagnosed by Dynamic Ultrasound (동적 초음파를 이용하여 진단한 견관절 상완 이두건 장두의 아탈구)

  • Park, Sang-Eun;Jung, Jae-Jung;Lee, Yeon-Soo;Kim, Young-Yul;Kim, Myung-Jin;Ji, Jong-Hun
    • Clinics in Shoulder and Elbow
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    • v.14 no.2
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    • pp.236-241
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    • 2011
  • Purpose: To report the usefulness of dynamic ultrasonography in subluxation of the long head of the biceps tendon, which is difficult to detect with static imaging such as plain radiography, static sonography, MRI and in a subtle physical examination. Materials and Methods: Two male patients suffered from subluxation of the long head of the biceps. This difficult diagnosis? was managed by surgery (biceps soft tissue tenodesis) with the aid of dynamic ultrasonography. At final follow up, we evaluated patients' symptoms and functional outcomes using KSS, UCLA and ASES scores. Results: We diagnosed and treated subluxation of the long head of the biceps easily using dynamic ultrasonography. At the final follow up, both patients' symptoms and functional outcomes were improved. There were no significant complications. Conclusion: Dynamic ultrasonography is a useful method in the difficult and subtle diagnosis of subluxation of the long head of the biceps.

Dynamic Knowledge Map and RDB-based Knowledge Conceptualization in Medical Arena (동적지식도와 관계형 데이터베이스 기반의 의료영역 지식 개념화)

  • Kim, Jin-Sung
    • Proceedings of the Korean Institute of Intelligent Systems Conference
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    • 2004.04a
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    • pp.111-114
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    • 2004
  • Management of human knowledge is an interesting concept that has attracted the attention of philosophers for thousands of years. Artificial intelligence and knowledge engineering has provided some degree of rigor to the study of knowledge systems and expert systems(ES) re able to use knowledge to solve the problems and answer questions. Therefore, the process of conceptualization and inference of knowledge are fundamental problem solving activities and hence, are essential activities for solving the problem of software ES construction Especially, the access to relevant, up-to-date and reliable knowledge is very important task in the daily work of physicians and nurses. In this study, we propose the conceptualization and inference mechanism for implicit knowledge management in medical diagnosis area. To this purpose, we combined the dynamic knowledge map(KM) and relational database(RDB) into a dynamic knowledge map(DKM). A graphical user-interface of DKM allows the conceptualization of the implicit knowledge of medical experts. After the conceptualization of implicit knowledge, we developed an RDB-based inference mechanism and prototype software ES to access and retrieve the implicit knowledge stored in RDB. Our proposed system allows the fast comfortable access to relevant knowledge fitting to the demands of the current task.

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Comparison of static MRI and pseudo-dynamic MRI in tempromandibular joint disorder patients (측두하악관절장애 환자에서의 static MRI와 pseudo-dynamic MRI의 비교연구)

  • Lee, Jin-Ho;Yun, Kyoung-In;Park, In-Woo;Choi, Hang-Moon;Park, Moon-Soo
    • Imaging Science in Dentistry
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    • v.36 no.4
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    • pp.199-206
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    • 2006
  • Purpose: The purpose of this study was to evaluate comparison of static MRI and pseudo-dynamic (cine) MRI in temporomandibular joint (TMJ) disorder patients. Materials and Methods: In this investigation, 33 patients with TMJ disorders were examined using both conventional static MRI and pseudo-dynamic MRI. Multiple spoiled gradient recalled acquisition in the steady state (SPGR) images were obtained when mouth opened and closed. Proton density weighted images were obtained at the closed and open mouth position in static MRI. Two oral and maxillofacial radiologists evaluated location of the articular disk, movement of condyle and bony change respectively and the posterior boundary of articular disk was obtained. Results: No statistically significant difference was found in the observation of articular disk position, mandibular condylar movement and posterior boundary of articular disk using static MRI and pseudo-dynamic MRI (P<0.05). Statistically significant difference was noted in bony changes of condyle using static MRI and pseudo-dynamic MRI (P<0.05). Conclusion: This study showed that pseudo-dynamic MRI didn't make a difference in diagnosing internal derangement of TMJ in comparison with static MRI. But it was considered as an additional method to be supplemented in observing bony change.

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Ulnar Nerve Subluxation Diagnosed by Dynamic Ultrasonography (동적 초음파를 이용하여 진단한 주관절 척골 신경 아탈구)

  • Ji, Jong-Hun;Jung, Jae-Jung;Kim, Young-Yul;Kang, Hyun-Taek;Park, Sang-Eun;Kim, Dong-Jin
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.3 no.2
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    • pp.79-83
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    • 2010
  • Musculoskeletal ultrasonography has been used as a convenient and simple tool for diagnosis of various conditions of orthopaedic diseases for many years. Generally magnetic resonance imaging (MRI) is thought to be the best method to search for anatomical structures or variations. However, for dynamic conditions such as dislocation or subluxation of tendons and nerves, MRI is not superior to ultrasonography, especially dynamic ultrasonography. So we present such a patient with an ulnar nerve subluxation at the elbow who has symtoms mimicking cubital tunnel syndrome diagnosed by dynamic ultrasonography and treated successfully by ulnar nerve anterior transposition and think that dynamic ultrasonography is a useful method for diagnosing dynamic condition such as ulnar nerve subluxation mimicking cubital tunnel syndrome.

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Comparison between Computer Tomography and Magnetic Resonance Imaging in the Diagnosis of Small Hepatocellular Carcinoma

  • Lertpipopmetha, Korn;Tubtawee, Teeravut;Piratvisuth, Teerha;Chamroonkul, Naichaya
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.11
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    • pp.4805-4811
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    • 2016
  • Background: Hepatocellular carcinomas (HCCs) less than 2 cm in diameter generally demonstrate a good outcome after curative therapy. However, the diagnosis of small HCC can be problematic and requires one or more dynamic imaging modalities. This study aimed to compare the sensitivity and agreement between CT and MRI for the diagnosis of small HCCs. Methods: CT and/or MRI scans of HCCs (1-2 cm) diagnosed by histopathology or typical vascular pattern according to the 2005 AASLD criteria were blindly reviewed by an abdominal radiologist. The reports were defined as conclusive/typical when arterial enhancement and washout during the portal/delayed phases were observed and as inconclusive when typical vascular patterns were not observed. The sensitivity and Cohen's kappa (k) for agreement were calculated. Results: In 27 patients, 27 HCC nodules (1-2 cm) were included. Diagnosis with a single-imaging modality (CT or MRI) was 81 % versus 48 % (p = 0.01). The CT sensitivity was significantly higher than MRI (78 % versus 52 %, p = 0.04). Among 27 nodules that underwent both CT and MRI, a discordance in typical enhancement patterns was found (k = 0.319, p = 0.05). In cases with inconclusive CT results, MRI gave only an additional 3.7 % sensitivity to reach a diagnosis. In contrast, further CT imaging following inconclusive MRI results gave an additional 29.6 % sensitivity.Conclusions: A single typical imaging modality is sufficient to diagnose small HCCs. Compared with MRI, multiphasic CT has a higher sensitivity. The limitations of MRI could be explained by the greater need for patient cooperation and the types of MRI contrast agent.

Quantitative NDE Thermography for Fault Diagnosis of Ball Bearings with Micro-Foreign Substances (미세 이물질이 혼입된 볼베어링의 고장 진단을 위한 정량화 열화상에 관한 비파괴평가 연구)

  • Hong, Dongpyo;Kim, Wontae
    • Journal of the Korean Society for Nondestructive Testing
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    • v.34 no.4
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    • pp.305-310
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    • 2014
  • In this study, a non-destructive evaluation (NDE) mothod is proposed for ball bearings contaminated with micro foreign substances, which were inserted into a ball bearing to create a defective specimen. The non-contact quantitative infrared thermographic technique was applied for NDE condition monitoring. Passive thermographic experiments were conducted to perform early fault diagnosis, for bearings operated at optimized torque status under a dynamic load condition. The temperature profiles for normal and defective specimens were quantitatively compared, and the thermographic data analyzed. Based on the NDE results, the temperature characteristics and abnormal fault detection of the ball bearing were quantitatively analyzed according to the rise in temperature.

Study on NDT Fault Diagnosis of the Ball Bearing under Stage of Abrasion by Infrared Thermography (마모 단계의 볼 베어링에 대한 적외선 열화상 비파괴 결함 진단 연구)

  • Seo, Jin-Ju;Hong, Dong-Pyo;Kim, Won-Tae
    • Journal of the Korean Society for Nondestructive Testing
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    • v.32 no.1
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    • pp.7-11
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    • 2012
  • For fault detection about the abrasion stage of rotational machineries under the dynamic loading conditions unlike the traditional diagnosis method used in the past decade, the infrared thermographic method with its distinctive advantages in non-contact, non-destructive, and visible aspects is proposed. In this paper, by applying a rotating deep-grooved ball bearing, passive thermographic experiments were conducted as an alternative way to proceeding the traditional fault monitoring on spectrum analyzer. As results, the thermographic experiment was compared with the traditional vibration spectrum analysis to evaluate the efficiency of the proposed method. Based on the results obtained as NDT, the temperature characteristics and abnormal fault detections of the ball bearing according to the abrasion stage were analyzed.

Fault Diagnosis and Fault-Tolerant Control of DC-link Voltage Sensor for Two-stage Three-Phase Grid-Connected PV Inverters

  • Kim, Gwang-Seob;Lee, Kyo-Beum;Lee, Dong-Choon;Kim, Jang-Mok
    • Journal of Electrical Engineering and Technology
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    • v.8 no.4
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    • pp.752-759
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    • 2013
  • This paper proposes a method for fault diagnosis and fault-tolerant control of DC-link voltage sensor for two-stage three-phase grid-connected PV inverters. Generally, the front-end DC-DC boost converter tracks the maximum power point (MPP) of PV array and the rear-end DC-AC inverter is used to generate a sinusoidal output current and keep the DC-link voltage constant. In this system, a sensor is essential for power conversion. A sensor fault is detected when there is an error between the sensed and estimated values, which are obtained from a DC-link voltage sensorless algorithm. Fault-tolerant control is achieved by using the estimated values. A deadbeat current controller is used to meet the dynamic characteristic of the proposed algorithm. The proposed algorithm is validated by simulation and experiment results.

Lymphoepithelial Cyst in Pancreas: a Case Report with Magnetic Resonance Imaging Findings

  • Kim, Hee Jeong;Park, Mi-hyun
    • Investigative Magnetic Resonance Imaging
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    • v.22 no.1
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    • pp.61-64
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    • 2018
  • Pancreatic lymphoepithelial cysts (LECs) are rare pancreatic cysts with squamous epithelial lining surrounded by dense lymphoid tissue. A preoperative diagnosis of LECs is difficult due to imaging diversity and inadequate documentation because of their rarity. We present a case of surgically confirmed pancreatic LEC with magnetic resonance imaging (MRI) findings as heterogeneous signal intensity on T2-weighted images with multiple septa-like structures, slightly hypo-signal intensity on T1-weighted images, and thin-wall enhancement on dynamic contrast images. LECs are benign lesions without any malignant potential. Therefore, the inclusion of LEC in the differential diagnosis of cystic pancreatic lesions may reduce unnecessary surgical procedures.

Cracked rotor diagnosis by means of frequency spectrum and artificial neural networks

  • Munoz-Abella, B.;Ruiz-Fuentes, A.;Rubio, P.;Montero, L.;Rubio, L.
    • Smart Structures and Systems
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    • v.25 no.4
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    • pp.459-469
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    • 2020
  • The presence of cracks in mechanical components is a very important problem that, if it is not detected on time, can lead to high economic costs and serious personal injuries. This work presents a methodology focused on identifying cracks in unbalanced rotors, which are some of the most frequent mechanical elements in industry. The proposed method is based on Artificial Neural Networks that give a solution to the presented inverse problem. They allow to estimate unknown crack parameters, specifically, the crack depth and the eccentricity angle, depending on the dynamic behavior of the rotor. The necessary data to train the developed Artificial Neural Network have been obtained from the frequency spectrum of the displacements of the well- known cracked Jeffcott rotor model, which takes into account the crack breathing mechanism during a shaft rotation. The proposed method is applicable to any rotating machine and it could contribute to establish adequate maintenance plans.