• Title/Summary/Keyword: Early Detection

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Evidence-based Screening, Early Diagnosis and Treatment Strategy of Cervical Cancer for National Policy in Low-resource countries: Example of India

  • Saxena, Upma;Sauvaget, Catherine;Sankaranarayanan, Rengaswamy
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.4
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    • pp.1699-1703
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    • 2012
  • Cervical cancer remains the most frequent cancer in women from the developing world. More than 88% of deaths occur in low-income countries, and it is predicted to climb to 91.5% by 2030. Although Pap-based screening programmes have shown to be effective in reducing the disease burden in high-resource countries, implementation and sustention of cytology-based programmes is quite challenging in low-resource settings. The present paper reviews evidence-based alternatives of screening methods, triaging algorithm, treatment of cervical precancerous lesions, and age-group at screening appropriate for low-income countries. Evidence shows that visual inspection methods using diluted acid acetic or Lugol's iodine, and HPV-DNA testing are more sensitive tests than the Pap-smear screening test. Visual inspection allows an immediate result and, when appropriate, may be immediately followed by cryotherapy, the so called "screen-and-treat" approach, achieved in a single visit, by trained nurses and midwives. Examples of cervical cancer prevention programmes in India and selected low-income countries are given.

Intraoperative Tumor Localization of Early Gastric Cancers

  • Jeong, Sang-Ho;Seo, Kyung Won;Min, Jae-Seok
    • Journal of Gastric Cancer
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    • v.21 no.1
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    • pp.4-15
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    • 2021
  • Recently, endoscopic screening systems have enabled the diagnosis of gastric cancer in the early stages. Early gastric cancer (EGC) is typically characterized by a shallow invasion depth and small size, which can hinder localization of EGC tumors during laparoscopic surgery. Here, we review nine recently reported tumor localization methods for the laparoscopic resection of EGCs. Preoperative dye or blood tattooing has the disadvantage of spreading. Preoperative 3-dimensional computed tomography reconstruction is not performed in real time during laparoscopic gastrectomy. Thus, they are considered to have a low accuracy. Intraoperative portable abdominal radiography and intraoperative laparoscopic ultrasonography methods can provide real-time feedback, but these methods require expertise, and it can be difficult to define the clips in some gastric regions. Despite a few limitations, intraoperative gastrofibroscopy provides real-time feedback with high accuracy. The detection system using an endoscopic magnetic marking clip, fluorescent clip, and radio-frequency identification detection system clip is considered highly accurate and provides real-time feedback; we expect a commercial version of this setup to be available in the near future. However, there is not yet an easy method for accurate real-time detection. We hope that improved devices will soon be developed and used in clinical settings.

Methylation-sensitive high-resolution melting analysis of the USP44 promoter can detect early-stage hepatocellular carcinoma in blood samples

  • Si-Cho, Kim;Jiwon, Kim;Da-Won, Kim;Yanghee, Choi;Kyunghyun, Park;Eun Ju, Cho;Su Jong, Yu;Jeongsil, Kim-Ha;Young-Joon, Kim
    • BMB Reports
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    • v.55 no.11
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    • pp.553-558
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    • 2022
  • Hepatocellular carcinoma (HCC) is dangerous cancer that often evades early detection because it is asymptomatic and an effective detection method is lacking. For people with chronic liver inflammation who are at high risk of developing HCC, a sensitive detection method for HCC is needed. In a meta-analysis of The Cancer Genome Atlas pan-cancer methylation database, we identified a CpG island in the USP44 promoter that is methylated specifically in HCC. We developed methylation-sensitive high-resolution melting (MS-HRM) analysis to measure the methylation levels of the USP promoter in cell-free DNA isolated from patients. Our MS-HRM assay correctly identified 40% of patients with early-stage HCC, whereas the α-fetoprotein test, which is currently used to detect HCC, correctly identified only 25% of early-stage HCC patients. These results demonstrate that USP44 MS-HRM analysis is suitable for HCC surveillance.

Role of F-18 FDG PET or PET/CT in the Evaluation of Gastric Cancer (위암 평가에 있어 F-18 FDG PET 또는 PET/CT의 역할)

  • Yun, Mi-Jin
    • Nuclear Medicine and Molecular Imaging
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    • v.40 no.3
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    • pp.141-147
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    • 2006
  • PET detects only less than 50% of early gastric cancer and 62-98% of advanced gastric cancer. Therefore, mass screening programs are recommended for all adults over the age of 40 for early detection and early treatment of gastric cancer through endoscopy or various radiological tests. The most important step after being diagnosed with gastric cancer is accurate staging, which mainly evaluates tumor resectability to avoid unnecessary surgery. Important factors that affect tumor resectability are whether the tumor can be separated from adjacent organs or important blood vessels, the extent of lymph node metastasis, presence of peritoneal metastasis, or distant organ metastasis. To evaluate the extent of local tumor invasion, anatomical imaging that has superior spatial resolution is essential. There are a few studies on prognostic significance of FDG uptake with inconsistent results between them. In spite of lower sensitivities for lymph node staging, the specificities of CT and PET are very high, and the specificity for PET tends to be higher than that for CT. Limited data published so far show that PET seems less useful in the detection of lung and bone metastasis. In the evaluation of pleural or peritoneal metastasis, PET seems very specific but insensitive as well. When FDG uptake of the primary tumor is low, the distant metastasis is also known to show low FDG uptake reducing its detection. There are only a few data available in the evaluation of recurrence detection and treatment response using FDG PET.

Costing of a State-Wide Population Based Cancer Awareness and Early Detection Campaign in a 2.67 Million Population of Punjab State in Northern India

  • Thakur, JS;Prinja, Shankar;Jeet, Gursimer;Bhatnagar, Nidhi
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.2
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    • pp.791-797
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    • 2016
  • Background: Punjab state is particularly reporting a rising burden of cancer. A 'door to door cancer awareness and early detection campaign' was therefore launched in the Punjab covering about 2.67 million population, wherein after initial training accredited social health activists (ASHAs) and other health staff conducted a survey for early detection of cancer cases based on a twelve point clinical algorithm. Objective: To ascertain unit cost for undertaking a population-based cancer awareness and early detection campaign. Materials and Methods: Data were collected using bottom-up costing methods. Full economic costs of implementing the campaign from the health system perspective were calculated. Options to meet the likely demand for project activities were further evaluated to examine their worth from the point of view of long-term sustainability. Results: The campaign covered 97% of the state population. A total of 24,659 cases were suspected to have cancer and were referred to health facilities. At the state level, incidence and prevalence of cancer were found to be 90 and 216 per 100,000, respectively. Full economic cost of implementing the campaign in pilot district was USD 117,524. However, the financial cost was approximately USD 6,301. Start-up phase of campaign was more resource intensive (63% of total) than the implementation phase. The economic cost per person contacted and suspected by clinical algorithm was found to be USD 0.20 and USD 40 respectively. Cost per confirmed case under the campaign was 7,043 USD. Conclusions: The campaign was able to screen a reasonably large population. High to high economic cost points towards the fact that the opportunity cost of campaign put a significant burden on health system and other programs. However, generating awareness and early detection strategy adopted in this campaign seems promising in light of fact that organized screening is not in place in India and in many developing countries.

A Real Time Flame and Smoke Detection Algorithm Based on Conditional Test in YCbCr Color Model and Adaptive Differential Image (YCbCr 컬러 모델에서의 조건 검사와 적응적 차영상을 이용한 화염 및 연기 검출 알고리즘)

  • Lee, Doo-Hee;Yoo, Jae-Wook;Lee, Kang-Hee;Kim, Yoon
    • Journal of the Korea Society of Computer and Information
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    • v.15 no.5
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    • pp.57-65
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    • 2010
  • In this paper, we propose a new real-time algorithm detecting the flame and smoke in digital CCTV images. Because the forest fire causes the enormous human life and damage of property, the early management according to the early sensing is very important. The proposed algorithm for monitoring forest fire is classified into the flame sensing and detection of smoke. The flame sensing algorithm detects a flame through the conditional test at YCbCr color model from the single frame. For the detection of smoke, firstly the background range is set by using differences between current picture and the average picture among the adjacent frames in the weighted value, and the pixels which get out of this range and have a gray-scale are detected in the smoke area. Because the proposed flame sensing algorithm is stronger than the existing algorithms in the change of the illuminance according to the quantity of sunshine, and the smoke detection algorithm senses the pixel of a gray-scale with the smoke considering the amount of change for unit time, the effective early forest fire detection is possible. The experimental results indicate that the proposed algorithm provides better performance than existing algorithms.

Complexity-Reduced Algorithms for LDPC Decoder for DVB-S2 Systems

  • Choi, Eun-A;Jung, Ji-Won;Kim, Nae-Soo;Oh, Deock-Gil
    • ETRI Journal
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    • v.27 no.5
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    • pp.639-642
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    • 2005
  • This paper proposes two kinds of complexity-reduced algorithms for a low density parity check (LDPC) decoder. First, sequential decoding using a partial group is proposed. It has the same hardware complexity and requires a fewer number of iterations with little performance loss. The amount of performance loss can be determined by the designer, based on a tradeoff with the desired reduction in complexity. Second, an early detection method for reducing the computational complexity is proposed. Using a confidence criterion, some bit nodes and check node edges are detected early on during decoding. Once the edges are detected, no further iteration is required; thus early detection reduces the computational complexity.

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Analysis on Early Detection of Lung Cancer by PET/CT Scan

  • Wang, Huo-Qiang;Zhao, Long;Zhao, Juan;Wang, Qiang
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.6
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    • pp.2215-2217
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    • 2015
  • Background: This systemic analysis was conducted to to evaluate the application value of positron emission tomography/computed tomography (PET/CT) in early diagnosis of lung cancer. Methods: Clinical studies evaluating the application value of PET/CT for patients underwent PET/CT imaging. The histological diagnosis served as the standard of truth. Results: Four clinical studies which including 1330 patients with pulmonary spaceoccupying lesions were considered eligible for inclusion. Systemic analysis suggested that, in all 1330 patients, pooled sensitivity was 98.7% (1313.2/1330) and specificity was 58.2%(276.85/476). Conclusion: This systemic analysis suggests that integrated PET/CT imaging provides high sensitivity, and reasonably high specificity, and could be applied for early diagnosis of lung cancer.

Early Detection Technique in IPM-type Motor with Stator-Turn Fault using Impedance Parameter (임피던스 성분을 이용한 매입형 영구자석 전동기의 고정자 절연파괴 고장의 초기 검출 기법)

  • Jeong, Chae-Lim;Kim, Kyung-Tae;Hur, Jin
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.62 no.5
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    • pp.612-619
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    • 2013
  • This paper proposes an early diagnosis technique for the stator-turn fault (STF) in an interior permanent magnet (IPM)-type brushless DC (BLDC) motor using the impedance parameter. We have analyzed the varying characteristics owing to the STF through various experiments and the finite element method (FEM). As a result, we have presented a simple method for fault detection. This technique can be applied without requiring a fast Fourier transform (FFT) and the calculation of the negative-sequence impedance. The fault detection system works on the basis of the comparison the measured impedance with the database impedance. The variations in the characteristics owing to the STF as well as the proposed technique have been verified through the simulation and experiment.

Advanced Diagnostic Aids in Oral Cancer

  • Masthan, K.M.K.;Babu, N. Aravindha;Dash, Kailash Chandra;Elumalai, M.
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.8
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    • pp.3573-3576
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    • 2012
  • Oral cancers are one of the most common cancers worldwide today. They are usually neglected by the common population when compared to systemic cancers such as the lung cancer, colon cancer etc. However, they also may be extremely fatal if left untreated even at a very initial stage of the lesion. Early detection and treatment gives the best chance for its cure. The five-year survival rate of oral cancer still remains low and delayed diagnosis is suggested to be one of the major reasons. The detection and diagnosis are currently based on clinical examination, histopathological evaluation of the biopsy material and molecular methods. Several diagnostic aids have been developed over the years for early detection of oral cancer. The purpose of this article is to review the advanced available diagnostic adjuncts for the detection of oral cancer.