• Clinical and Experimental Pediatrics
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• v.56 no.1
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• pp.19-25
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• 2013

Purpose: Childhood obesity is associated with nonalcoholic fatty liver disease (NAFLD), and it has become one of the most common causes of childhood chronic liver diseases which significant as a cause of liver related mortality and morbidity in children in the United States. The development of simpler and easier clinical indices for medical practice is needed to identify advanced hepatic fibrosis in childhood NAFLD instead of invasive method like liver biopsy. FibroScan and aspartate aminotransferase (AST)-to-platelet ratio index (APRI) have been proposed as a simple and noninvasive predictor to evaluate hepatic fibrosis in several liver diseases. APRI could be a good alternative to detect pathologic change in childhood NAFLD. The purpose of this study is to validate the efficacy of APRI for assessing hepatic fibrosis in childhood NAFLD based on FibroScan. Methods: This study included 23 children with NAFLD who underwent FibroScan. Clinical, laboratory and radiological evaluation including APRI was performed. To confirm the result of this study, 6 patients received liver biopsy. Results: Factors associated with hepatic fibrosis (stiffness measurement >5.9 kPa Fibroscan) were triglyceride, AST, alanine aminotransferase, platelet count, APRI and collagen IV. In multivariate analysis, APRI were correlated with hepatic fibrosis (>5.9 kPa). In receiver operating characteristics curve, APRI of meaningful fibrosis (cutoff value, 0.4669; area under the receiver operating characteristics, 0.875) presented sensitivity of 94%, specificity of 66%, positive predictive value of 94%, and negative predictive value of 64%. Conclusion: APRI might be a noninvasive, simple, and readily available method for medical practice to predict hepatic fibrosis of childhood NAFLD.

• Proceedings of the Acoustical Society of Korea Conference
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• 1992.06a
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• pp.103-106
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• 1992

기존의 혈류 속도 측정 방법으로는 인체내에 반사 물질을 투입하는 Fick technique과 electromagnetic flowmeter등을 이용한 invasive method와 Ultrasonic Doppler method에 의한 noninvasive method가 이용되고 있다. 이 방법들은 혈과의 모양이나 혈관에서의 flow velocity profile등에 관한 정확한 정보를 얻을 수 없다. 이와같은 문제점들을 해결하기 위한 혈류속도 측정 방법으로 실험실 조건하에서 인체에서와 유사한 혈류측정 장치를 제작하여, vessel의 표본 체적내의 산란체로부터 후방산란되는 초음파 신호의 correlation을 이용한 Ultrasound Time Domain Correlation (UTDC) technique을 연구하였다. UTDC technique을 이용하여 유속을 측정한 결과, 12% 이하의 정밀도로 평균 유체 유속이 측정되었고, Ultrasonic Doppler method에서 측정할 수 없는 혈과의 모양과 혈관의 각 위치에서의 유속 및 혈관벽에 이물질의 존재여부를 명확히 판단할 수 있었다.

• Nutrition Research and Practice
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• v.8 no.3
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• pp.241-248
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• 2014

The accuracy and noninvasive nature of the doubly labeled water (DLW) method makes it ideal for the study of human energy metabolism in free-living conditions. However, the DLW method is not always practical in many developing and Asian countries because of the high costs of isotopes and equipment for isotope analysis as well as the expertise required for analysis. This review provides information about the theoretical background and practical aspects of the DLW method, including optimal dose, basic protocols of two-and multiple-point approaches, experimental procedures, and isotopic analysis. We also introduce applications of DLW data, such as determining the equations of estimated energy requirement and validation studies of energy intake.

• Journal of Biomedical Engineering Research
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• v.18 no.3
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• pp.261-266
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• 1997

Nonevasive multifrequency microwave radiometry using coaxial waveguide antenna has been investigated for a homogeneous and four layer human body model. The coupling between coaxial waveguide antenna and a biological object was analyzed by use of the finite-difference time-domain(FDTD) method to obtain the absorbed power patterns in the media. The object studied in this paper was a homogeneous and four-layered lossy medium. The specific absorption rates(SAR) distribution which was corresponding to the temperature distribution was calculated in each region by use of the steady-state response in FDTD method. The SAR pattern of 1.2GHz was compared with that of 1.8GHz.

• Proceedings of the KOSOMBE Conference
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• v.1997 no.05
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• pp.402-405
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• 1997

The analysis of heart sounds is a noninvasive diagnostic method useful to diagnose heart valve function. In this paper we compared the ability of spectral analysis method for prosthetic heart valve sounds. Phonocardiograms of prosthetic heart valve were analyzed in order to derive frequency domain feature suitable for the classification of the valve state. The FFT-based methods did not provide sufficient frequency resolution to completely characterize the spectrum of prosthetic heart valve sounds. A high resolution parametric methods were shown to give superior frequency resolution. In parametric methods, all methods provide a 1st & 2nd & 3rd frequency component. But Shank method provided a most dominant frequency peak.

• Journal of Biomedical Engineering Research
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• v.18 no.2
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• pp.167-172
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• 1997

Novel measurement method has been performed for the noninvasive study of the swelling effect detected in hydrophilic polymers using Magnetic Resonance Microscopy. iN NMR images were acquired to measure geometric changes due to the swelling effect occurred in the polymer specimens. In addition to the geometric changes, the water ingress process was visualized noninvgsively. The measurement method performed .in the present study utilized some of NMR's valuable properties, both noninvasiveness and parameter selectivity. It is believed that the method used in the present study may be applicable to the study of biopolymers in which noninvasiveness is particularly important.

• Proceedings of the KOSOMBE Conference
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• v.1996 no.11
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• pp.185-188
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• 1996

Noninvasive multifrequency microwave radiometry using coaxial waveguide antenna has been investigated for a homogeneous and four layer human body model. The coupling between coaxial waveguide antenna and a. biological object is analyzed by use of the FDTD method to obtain the absorbed power patterns in the media. The object studied in this paper is a homogeneous and four-layered lossy medium. The specific absorption rates(SAR) distribution is calculated in each region by use of the steady-state response in FDTD method.

• Journal of Yeungnam Medical Science
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• v.8 no.1
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• pp.63-71
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• 1991

Noninvasive techniques for antenatal detection of the fetal development and well-being such as biophysical profile, non-stress and stress test remain major challenges in modem obstetric practice. To obtain and analyze umbilical artery velocity waveform by pulsed-wave doppler ultrasound, a total of 160 determinations were carried out on 157 normal pregnant women between 16th to 41st week gestation. The ratio of peak systolic to end-diastolic flow velocity(S/D ratio), pulsatility index and resistance index were measured as indices of the resistance in feto-placental circulation. The results were as follows : As gestation advances, the, mean values for peak systolic and end-diastolic velocities raised progressively. As gestation advances, the mean values for the S/D ratio declined progressively, exhibiting high diastolic flow velocity caused by low resistance. Pulsatility index, and resistance index were also declined progressively, as gestation advances. The analysis of umbilical artery blood flow velocity waveforms provides a new noninvasive technique to evaluate fetal development and well-being, and may be expected a reliable method for assessment of fetal life.

• Journal of Biomedical Engineering Research
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• v.25 no.6
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• pp.605-609
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• 2004

Blood pressure (BP) is one of the important physiological parameters for diagnosing cardiovascula diseases by means of noninvasive method. Existing noninvasive methods for measuring arterial BP have to use cuff and difficult in measuring arterial BP continuously. Systolic blood pressure (SBP) and pulse transit time (PTT) have a kind of inverse relationship. We acquired PTT data when subjects were in relaxation and also after exercise. We performed the linear regression analysis for making the regression equations for each subject and the regression equation for all subjects. We compared the estimated SBP with the measured SBP to check the accuracy of our regression equations. From the result, the regression equations for each subject was appropriate according to the American National Standards Institute of the Association of the Advancement of Medical Instrument (ANSI/AAMI) which says that BP devices should have ±5mmHg mean of error and 8mmHg standard deviation of error. However, the regression equation for all subjects was not proper to ANSI/AAMI recommendation. The result means that, without cuff, we can continuously estimate each subject's SBP through PTT and indivisual calibration.

• Journal of Chest Surgery
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• v.28 no.11
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• pp.973-976
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• 1995

The assessment method of human body composion by bioelectrical impedance is very simple, safe, rapid and noninvasive. Based on prediction formulas for total body water from bioelectrical impedance, the observed weight loss should be associated with an increase in impedance. However in edematous patients for dialysis, the calculated total body water loss as calculated from impedance were overestimated and significantly higher than the weight loss after dialysis. So determination of impedance were made in 50 edematous patients before, during and after dialysis. Mean weight loss, which was assumed to be only loss of water was 1719$\pm$ 866 gr and mean impedance change was 71.0 $\pm$ 23.0 Ohm under 50kHz. Body weight loss was highly correlated [r>0.81 with the increase in body impedance under variable frequencies[1, 10, 20, 30, 40, 50 kHz . But there were no differences between frequences. In conclusion, clinical application of bioelectrical impedance method is useful for individual edematous patients with new correlation equation[Y=230+26.8X, X;Impedance change, Y;Calculated total body water loss .