• Title/Summary/Keyword: False negative rate

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Incidental Finding of Abnormal Cervical Pathology in Hysterectomy Specimens after Normal Preoperative Papanicolaou Smears in Thammasat University Hospital

  • Chundarat, Pong-Anan;Suwannarurk, Komsun;Bhamarapravatana, Kornkarn;Pattaraarchachai, Junya;Thaweekul, Yuthadej;Mairaing, Karicha;Poomtavorn, Yenrudee
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.14
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    • pp.5811-5814
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    • 2014
  • Background: To investigate abnormal cervical histopathology (ACH) from hysterectomy specimens with normal preoperative Papanicolaou (Pap) smears. Materials and Methods: Medical records from May 2009 to April 2012 were retrospectively reviewed of subjects from whom hysterectomy specimens were taken in Thammasat University Hospital. All had normal preoperative Pap smears. ACH was the primary outcome. A p-value less than 0.05 was considered significant. A total of 483 subjects with an average age of 50.5 years were recruited. Benign cases of enlarged uterus and pelvic mass were present in 94% (430/483). Endometrial and ovarian cancer were found at 6.2 and 4.7%, respectively. In hysterectomy specimens there were 19 (4%) cases of ACH. Silent ACH with benign disease, endometrial and ovarian cancers were 1.2% (5/430), 33.3% (10/30) and 17.4% (4/23), respectively. The negative predictive value (NPV) and false negative rate of Pap smears were 96 and 4%, respectively. ACH in malignant cases were 27.9% (12/43) and 20% (2/10) in adequate (APS) and inadequate (IPS) Pap collection groups, respectively. ACH in benign condition were 0.68% (2/292) and 2.2% (3/138) in APS and IPS, respectively. ACH was more often found in hysterectomy specimens with indication of malignancy than benign conditions with statistical significance. One third of preoperative stage I endometrial cancer cases had cervical involvement. Conclusions: Silent ACH in normal preoperative Pap smear was 4 %. Inadequate Pap smear collection is still the major problem in this study. Reducing inadequate Pap smear collection could reduce the false negative rate.

Application of artificial neural network to differential diagnosis of lung lesion: Preliminary results

  • Lee, Hae-Jun;Lee, Yu-Kyung;Hwang, Kyung-Hoon
    • Proceedings of the Korea Information Processing Society Conference
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    • 2011.04a
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    • pp.1614-1615
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    • 2011
  • It is difficult to differentially diagnose between lung cancer and benign inflammatory lung lesion due to high false positive rate on F-18 FDG-PET. We investigated whether application of artificial neural network to this diagnosis may be helpful. We reviewed the medical records and F-18 FDG PET images of 12 patients, selecting clinical and PET variables such as SUV. For selected variables and confirm, multilayer neural perceptron was applied in crossvalidation method and compared to visual interpretation. Neural network correctly classified the lung lesions in 83%, and reduced greately the false positive rate. However, false negative rate was not influenced. Application of neural network to the differential diagnosis between lung cancer and benigh inflammatory lesion may be helpful. Further studies with more patients are warranted.

Clinical Experience and Sensitivity of the AutoPap 300 QC System in Cervicovaginal Cytology (자궁경부세포진에 있어서 AutoPap 300 QC System의 임상경험과 민감도 검사)

  • Hong, Sung-Ran;Park, Jong-Sook;Jang, Hoi-Sook;Kim, Yee-Jeong;Kim, Hy-Sook;Park, Chong-Taik;Park, In-Sou
    • The Korean Journal of Cytopathology
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    • v.9 no.1
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    • pp.37-44
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    • 1998
  • OBJECTIVE: False negatives of cervical smears due to screening errors pose a significant and persistent problem. AutoPap 300 QC System, an automated screening device, is designed to rescreen conventionally prepared Pap smears initially screened by cytotechnologists as normal. Clinical experience and sensitivity of the AutoPap 300 QC System were assessed and compared with current 10% random qualify control technique. MATERIALS AND METHODS: In clinical practice, a total of 18,592 "within normal limits" or "benign cellular changes" cases classified by The Bethesda System were rescreened by the Autopap System. In study for sensitivity of The AutoPap System to detect false negatives, a total of 1,680 "within normal limits" or "benign cellular changes" cases were rescreened both manually and by the AutoPap System. The sensitivity of the AutoPap System to these false negatives was assessed at 10% review rate to compare 10% random manual rescreen. RESULTS: In clinical practice, 38 false negatives were identified by the AutoPap System and we had achieved 0.2% reduction in the false negative rate of screening error. In study for sensitivity, 37 false negatives were identified by manual rescreening, and 23 cases(62.2%) of the abnormal squamous cytology were detected by the AutoPap System at 10% review rate. CONCLUSONS: The AutoPap 300 QC System is a sensitive automated rescreening device that can detect potential false negatives prior to reporting and can reduce false negative rates in the laboratory. The device is confirmed to be about eight times superior to the 10% random rescreen in detecting false negatives.

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A Comparative Study of Cytology & Cervicography for Cervical Cancer Screening (자궁경부 세포진검사 및 자궁경부 확대촬영술의 비교연구)

  • Ha, Jung-Gyu;Yun, Dal-Sik;Lee, Jun-Gi;Choe, Chang-Geun;U, Yang-Rye;Lee, Jin-Su;Lee, Yun-Hui;Park, Jae-Yeong;Lee, Yeong-Im
    • Journal of Korea Association of Health Promotion
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    • v.2 no.1
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    • pp.27-37
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    • 2004
  • Background 'For many years, the Papanicolaou smear has been used to detect pre-malignant and malignant disease of the cervix. Although cervical cytology screening programmes have result in the reduction of cervical cancer incidence and mortality, Pap smear have been subjected to intense scrutiny and criticism in recent years. So cervicography is introduced. Cervicography is an adjunct method of cervical cancer screening intended to complement Papanicolaou smear. Cervicography involve obtaining and evaluating a photographic image of the cervix. The purpose of this investigation was to evaluate the efficacy of Papanicolaou smear and cervicography in cervical cancer screening. Materials & Methods : This study population was of 74 women, who visited department of obstetrics & Gynecology, Korea association of Health Promotion Chung-nam branch from January, 20O2 to October, 2003. All patients were taken Pap smear before cervicography, and then two cervicography was obtained with applying5% acetic acid. Those women in whom abnormalities were detected by either test subsequently obtained histologic specimen. Results : 1. The sensitivity and the specificity of Papanicolaou smear was 92.1% and 72.7%respectively.2. The sensitivity and the specificity of cervicography was 88.9% and 54.5% respectively. The false negative rate, and false positive rate of Papanicolaou smear were 7.9%, 27.2% respectively. The false negative rate, and false positive rate of cervicography were 11.1%,45.5% respectively. Conclusions . Papanicolaou smear is a useful method and an important tool for detecting cervical cancer. However when Papanicolaou smear and Cervicograpy is used together, the sensitivity is higher than for Papanicolaou smear used alone.

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Relationship Between Skin Impedance Signal, Reaction time, and Eye Blink Depending on Arousal Level (각성상태에 따른 피부임피던스 신호와 반응시간 및 눈 잡학임의 상관관계(E))

  • 고한우;김연호
    • Journal of Biomedical Engineering Research
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    • v.18 no.4
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    • pp.485-491
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    • 1997
  • This paper describes the relationship between skin impedance signal, behavioral signal, and subjective evaluation depending on arousal level. Nz and reaction time had similar trend with mKSS level, but eyeblink rate was different from these two parameters. eye-blink rate increased slowly from mKSS level 1 to 5, and had high increasing rate at mKSS 7. But it showed steep descent at mKSS level 9. Each subject showed different eye-blink rates, but changing rates of EBR was similar at eachm KSS level. Therefore it suggests that rising rate of EBR can be used arousal level criterion. From the result of reaction time test. human performance was decreased rapidly above the mKSS level 5, and false positive and false negative data was observed above the mKSS level 3. It is desirable to give a subject some stimuli such as sound or aroma to rise arousal level between mKSS level 3 and mKSS level 5.

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Modification-robust contents based motion picture searching method (변형에 강인한 내용기반 동영상 검색방법)

  • Choi, Gab-Keun;Kim, Soon-Hyob
    • 한국HCI학회:학술대회논문집
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    • 2008.02a
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    • pp.215-217
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    • 2008
  • The most widely used method for searching contents of mot ion picture compares contents by extracted cuts. The cut extract ion methods, such as CHD(Color Histogram Difference) or ECR(Edge Change Ratio), are very weak at modifications such as cropping, resizing and low bit rate. The suggested method uses audio contents for indexing and searching to make search be robust against these modification. Scenes of audio contents are extracted for modification-robust search. And based on these scenes, make spectral powers binary on each frequency bin. in the time-frequency domain. The suggested method shows failure rate less than 1% on the false positive error and the true negative error to the modified(using cropping, clipping, row bit rate, addtive frame) contents.

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False-Positive Mycobacterium tuberculosis Detection: Ways to Prevent Cross-Contamination

  • Asgharzadeh, Mohammad;Ozma, Mahdi Asghari;Rashedi, Jalil;Poor, Behroz Mahdavi;Agharzadeh, Vahid;Vegari, Ali;Shokouhi, Behrooz;Ganbarov, Khudaverdi;Ghalehlou, Nima Najafi;Leylabadlo, Hamed Ebrahmzadeh;Kafil, Hossein Samadi
    • Tuberculosis and Respiratory Diseases
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    • v.83 no.3
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    • pp.211-217
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    • 2020
  • The gold standard method for diagnosis of tuberculosis is the isolation of Mycobacterium tuberculosis through culture, but there is a probability of cross-contamination in simultaneous cultures of samples causing false-positives. This can result in delayed treatment of the underlying disease and drug side effects. In this paper, we reviewed studies on false-positive cultures of M. tuberculosis. Rate of occurrence, effective factors, and extent of false-positives were analyzed. Ways to identify and reduce the false-positives and management of them are critical for all laboratories. In most cases, false-positive is occurring in cases with only one positive culture but negative direct smear. The three most crucial factors in this regard are inappropriate technician function, contamination of reagents, and aerosol production. Thus, to reduce false-positives, good laboratory practice, as well as use of whole-genome sequencing or genotyping of all positive culture samples with a robust, extra pure method and rapid response, are essential for minimizing the rate of false-positives. Indeed, molecular approaches and epidemiological surveillance can provide a valuable tool besides culture to identify possible false positives.

An Analysis on the Error Probability of A Bloom Filter (블룸필터의 오류 확률에 대한 분석)

  • Kim, SungYong;Kim, JiHong
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.24 no.5
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    • pp.809-815
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    • 2014
  • As the size of the data is getting larger and larger due to improvement of the telecommunication techniques, it would be main issues to develop and process the database. The bloom filter used to lookup a particular element under the given set is very useful structure because of the space efficiency. In this paper, we introduce the error probabilities in Bloom filter. Especially, we derive the revised false positive rates of the Bloom filter using experimental method. Finally we analyze and compare the original false positive probability of the bloom filter used until now and the false decision probability proposed in this paper.

Is the diagnosis of calcified laryngeal cartilages on panoramic radiographs possible?

  • Cagirankaya, Leyla Berna;Akkaya, Nursel;Akcicek, Gokcen;Dogru, Hatice Boyacioglu
    • Imaging Science in Dentistry
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    • v.48 no.2
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    • pp.121-125
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    • 2018
  • Purpose: Detecting laryngeal cartilages (triticeous and thyroid cartilages) on panoramic radiographs is important because they may be confused with carotid artery calcifications in the bifurcation region, which are a risk factor for stroke. This study assessed the efficiency of panoramic radiography in the diagnosis of calcified laryngeal cartilages using cone-beam computed tomography (CBCT) as the reference standard. Materials and Methods: A total of 312 regions(142 bilateral, 10 left, 18 right) in 170 patients(140 males, 30 females) were examined. Panoramic radiographs were examined by an oral and maxillofacial radiologist with 11 years of experience. CBCT scans were reviewed by 2 other oral and maxillofacial radiologists. The kappa coefficient(${\kappa}$) was calculated to determine the level of intra-observer agreement and to determine the level of agreement between the 2 methods. Diagnostic indicators(sensitivity, specificity, accuracy, and false positive and false negative rates) were also calculated. P values <.05 were considered to indicate statistical significance. Results: Eighty-two images were re-examined to determine the intra-observer agreement level, and the kappa coefficient was calculated as 0.709 (P<.05). Statistically significant and acceptable agreement was found between the panoramic and CBCT images (${\kappa}=0.684$ and P<.05). The sensitivity, specificity, diagnostic accuracy rate, the false positive rate, and the false negative rate of the panoramic radiographs were 85.4%, 83.5%, 84.6%, 16.5%, and 14.6%, respectively. Conclusion: In most cases, calcified laryngeal cartilages could be diagnosed on panoramic radiographs. However, due to variation in the calcifications, diagnosis may be difficult.

Robust Tag Detection Algorithm for Tag Occlusion of Augmented Reality (증강 현실의 태그 차단 현상에 강인한 태그 탐지 알고리즘)

  • Lee Seok-Won;Kim Dong-Chul;Han Tack-Don
    • Proceedings of the Korean Information Science Society Conference
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    • 2006.06b
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    • pp.55-57
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    • 2006
  • 본 논문에서는 컬러코드를 이용하여 증강현실 시스템에 사용 가능한 태그를 탐지하는 알고리즘을 설계하고 차단 현상에 강인한 알고리즘을 제안하였다. 기존의 ARToolkit에서 태그의 일부분이 사용자 또는 다른 물체에 의해 가려지게 될 경우 증강되었던 객체가 순간 사라져 버리는 불안정성 (Instability) 문제를 해결하기 위한 방법에 초점을 맞춘다. 불안정성의 문제는 이미지 안에 태그가 존재하지만 해당하는 객체를 증강시키지 못하는 False Negative 에러와 태그가 존재하지 않는 곳에 잘못된 객체를 증강시키는 False Positive 에러로 분류 될 수 있다. 제안된 탐지 알고리즘으로 특정 컬러 영역을 분리하여 모서리 여부를 판별하고 모서리인 경우 가려진 꼭지점의 위치를 추출하여 태그가 차단에 의하여 가려졌을 때에도 객체를 안정적으로 증강시킬 수 있다. 기존 AR 시스템들의 태그를 가지고 Daylight 65, Illuminant A. CWF, TL84의 4가지의 표준 조명하에 컬러코드 4종류, ARToolkit 태그 4개, ARTag 4개를 이용하여 실험을 진행하여 차단 현상이 발생하면 전혀 객체를 증강시킬 수 없었던 ARToolkit에서도 DayLight65의 경우 50%의 False Negative. False Positive rate을 보여 기존 증강현실 시스템에서 보였던 불안정성 문제를 개선하였다.

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