• Title/Summary/Keyword: Performance Diagnostic

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Automated Breast Ultrasound System for Breast Cancer Evaluation: Diagnostic Performance of the Two-View Scan Technique in Women with Small Breasts

  • Bo Ra Kwon;Jung Min Chang;Soo Yeon Kim;Su Hyun Lee;Soo-Yeon Kim;So Min Lee;Nariya Cho;Woo Kyung Moon
    • Korean Journal of Radiology
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    • v.21 no.1
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    • pp.25-32
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    • 2020
  • Objective: To comparatively evaluate the scan coverage and diagnostic performance of the two-view scan technique (2-VST) of the automated breast ultrasound system (ABUS) versus the conventional three-view scan technique (3-VST) in women with small breasts. Materials and Methods: Between March 2016 and May 2017, 136 asymptomatic women with small breasts (bra cup size A) suitable for 2-VST were enrolled. Subsequently, 272 breasts were subjected to bilateral whole-breast ultrasound examinations using ABUS and the hand-held ultrasound system (HHUS). During ABUS image acquisition, one breast was scanned with 2-VST, while the other breast was scanned with 3-VST. In each breast, the breast coverage and visibility of the HHUS detected lesions on ABUS were assessed. The sensitivity and specificity of ABUS were compared between 2-VST and 3-VST. Results: Among 136 breasts, eight cases of breast cancer were detected by 2-VST, and 10 cases of breast cancer were detected by 3-VST. The breast coverage was satisfactory in 94.1% and 91.9% of cases under 2-VST and 3-VST, respectively (p = 0.318). All HHUS-detected lesions were visible on the ABUS images regardless of the scan technique. The sensitivities and specificities were similar between 2-VST and 3-VST (100% [8/8] vs. 100% [10/10], and 97.7% [125/128] vs. 95.2% [120/126], respectively), with no significant difference (p > 0.05). Conclusion: 2-VST of ABUS achieved comparable scan coverage and diagnostic performance to that of conventional 3-VST in women with small breasts.

Malaria Endemicity in the Rural Communities of Ebonyi State, Nigeria

  • Nwele, David Ekene;Onyali, Ikechukwu Oliver;Iwueze, Milliam Okwudili;Elom, Michael Okpara;Uguru, Ogbonna Elom Sabastian
    • Parasites, Hosts and Diseases
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    • v.60 no.3
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    • pp.173-179
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    • 2022
  • Malaria remains a global health threat. Approximately 97% of the population is at risk in sub-Saharan countries, particularly Nigeria. This study compared the performance of 2 diagnostic methods in assessing malaria endemicity in the rural communities of Ebonyi State, Nigeria. A total of 1,140 study participants were screened for malaria parasite using Rapid Diagnostic Test kits (RDT) in the field, while thick and thin films for microscopy were examined in the laboratory. Our result showed that malaria prevalence was 56.8 by RDT and 38.6% by microscopic test. Age group under 10 years had the highest prevalence of 28.9% (RDT) and 23.6% (microscopy), respectively. The highest prevalence of 19.5% by RDT was recorded in Onicha Local Government Area, while the highest prevalence of 13.4% with microscopy was recorded in Ezza North Local Government Area. The sensitivity and specificity of microscopic examination were both 100%, while those of RDT were 95.5% and 75.9%, respectively.

Diagnostic Ability of High-definition Imaging Using Ultraslim Endoscopes in Early Gastric Cancer

  • Sugita, Tomomi;Suzuki, Sho;Ichijima, Ryoji;Ogura, Kanako;Kusano, Chika;Ikehara, Hisatomo;Gotoda, Takuji;Moriyama, Mitsuhiko
    • Journal of Gastric Cancer
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    • v.21 no.3
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    • pp.246-257
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    • 2021
  • Purpose: It is unclear whether high-definition (HD) imaging improves visibility and diagnostic ability in early gastric cancer (EGC) compared with standard-definition (SD) imaging. We aimed to compare the diagnostic performance and visibility scores of HD and SD ultraslim endoscopes in EGC. Materials and Methods: We used HD and SD ultraslim endoscopes to obtain 60 images with similar compositions of gastric environments. Of the 60 images, 30 showed EGC (15 images for each modality) and 30 showed no EGC (15 images for each modality). Seventeen endoscopists evaluated the presence and location of the lesions in each image. Diagnostic ability was compared between modalities. The color difference between a lesion and the surrounding mucosa (ΔE) was measured and compared between the modalities. Results: The ability of HD to detect EGC was significantly higher than that of SD (accuracy: 80.8% vs. 71.6%, P=0.017; sensitivity: 94.9% vs. 76.5%, P<0.001; positive predictive value, 76.2% vs. 55.3%, P<0.001; and negative predictive value (NPV), 94.1% vs. 73.5%, P<0.001). The ability of HD to determine the horizontal extent of EGC was significantly higher than that of SD (accuracy: 71.0% vs. 57.8%, P=0.004; sensitivity: 75.3% vs. 49.0%, P<0.001; NPV, 72.9% vs. 55.9%, P<0.001; and area under the curve: 0.891 vs. 0.631, P=0.038). The mean ΔE was significantly higher for HD than for SD (10.3 vs. 5.9, P=0.011). Conclusions: The HD ultraslim endoscope showed a higher diagnostic performance in EGC than the SD endoscope because it provided good color contrast.

Comparative Performance of Susceptibility Map-Weighted MRI According to the Acquisition Planes in the Diagnosis of Neurodegenerative Parkinsonism

  • Suiji Lee;Chong Hyun Suh;Sungyang Jo;Sun Ju Chung;Hwon Heo;Woo Hyun Shim;Jongho Lee;Ho Sung Kim;Sang Joon Kim;Eung Yeop Kim
    • Korean Journal of Radiology
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    • v.25 no.3
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    • pp.267-276
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    • 2024
  • Objective: To evaluate the diagnostic performance of susceptibility map-weighted imaging (SMwI) taken in different acquisition planes for discriminating patients with neurodegenerative parkinsonism from those without. Materials and Methods: This retrospective, observational, single-institution study enrolled consecutive patients who visited movement disorder clinics and underwent brain MRI and 18F-FP-CIT PET between September 2021 and December 2021. SMwI images were acquired in both the oblique (perpendicular to the midbrain) and the anterior commissure-posterior commissure (AC-PC) planes. Hyperintensity in the substantia nigra was determined by two neuroradiologists. 18F-FP-CIT PET was used as the reference standard. Inter-rater agreement was assessed using Cohen;s kappa coefficient. The diagnostic performance of SMwI in the two planes was analyzed separately for the right and left substantia nigra. Multivariable logistic regression analysis with generalized estimating equations was applied to compare the diagnostic performance of the two planes. Results: In total, 194 patients were included, of whom 105 and 103 had positive results on 18F-FP-CIT PET in the left and right substantia nigra, respectively. Good inter-rater agreement in the oblique (κ = 0.772/0.658 for left/right) and AC-PC planes (0.730/0.741 for left/right) was confirmed. The pooled sensitivities for two readers were 86.4% (178/206, left) and 83.3% (175/210, right) in the oblique plane and 87.4% (180/206, left) and 87.6% (184/210, right) in the AC-PC plane. The pooled specificities for two readers were 83.5% (152/182, left) and 82.0% (146/178, right) in the oblique plane, and 83.5% (152/182, left) and 86.0% (153/178, right) in the AC-PC plane. There were no significant differences in the diagnostic performance between the two planes (P > 0.05). Conclusion: There are no significant difference in the diagnostic performance of SMwI performed in the oblique and AC-PC plane in discriminating patients with parkinsonism from those without. This finding affirms that each institution may choose the imaging plane for SMwI according to their clinical settings.

Effect of Differential Pressure on the Performance of Motor Operated Flexible Wedge Gate Valve (차압이 모터구동 Flexible Wedge형 게이트밸브의 성능에 미치는 영향)

  • Kim, Dae-Woong;Yoo, Seong-Yeon
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.31 no.2 s.257
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    • pp.151-158
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    • 2007
  • The mechanism of power transmission from motor torque to stem thrust and the operation characteristic of each stroke position are analyzed using the diagnostic signal, and effects of differential pressure on the performance of motor operated flexible wedge gate valve are investigated. Test facility consists of 76 mm motor operated valve(flexible wedge type), pump and pipe system. Static and dynamic test are performed separately, and two differential pressure conditions are applied in the dynamic test. To evaluate the performance of valve, test signals for the torque, thrust, current, voltage and stroke length are acquired by using UDS which is diagnosis device for motor operated valve, and each diagnostic signal is analyzed and compared. The characteristic of valve performance factors such as stem factor, rate of loading, valve factor, are evaluated, and these factors are found to be severely influenced by the fluid differential pressure.

A Evaluation Method of Operational Performance for Air-operated Gate Valve (공기구동 게이트밸브의 운전 성능평가 방법에 관한 연구)

  • Kim, Dae-Woong;Park, Sung-Keun;Kang, Shin-Cheul;Kim, Yang-Suk
    • The KSFM Journal of Fluid Machinery
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    • v.12 no.2
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    • pp.31-38
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    • 2009
  • The valve performance has been evaluated from the theoretical equation based on design information such as packing thrust, spring preload and friction coefficient(${\mu}$). The accuracy of those data can be lower than that of vendor's initial design data. Especially, the friction coefficient can be degraded with time than the original condition and the valve performance calculated using the previous friction coefficient can not be available. Accordingly, this paper is describing a new performance evaluation method of valve based on diagnostic test data which are acquired from a site valve tested in static and dynamic conditions. Especially, this paper provides a new method using friction coefficient(${\mu}$) which is derived from the diagnostic test data acquired in the valve's design basis condition.

Comparative Assessment of Diagnostic Performances of Two Commercial Rapid Diagnostic Test Kits for Detection of Plasmodium spp. in Ugandan Patients with Malaria

  • Bahk, Young Yil;Park, Seo Hye;Lee, Woojoo;Jin, Kyoung;Ahn, Seong Kyu;Na, Byoung-Kuk;Kim, Tong-Soo
    • Parasites, Hosts and Diseases
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    • v.56 no.5
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    • pp.447-452
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    • 2018
  • Prompt diagnosis of malaria cases with rapid diagnostic tests (RDTs) has been widely adopted as an effective malaria diagnostic tool in many malaria endemic countries, primarily due to their easy operation, fast result output, and straightforward interpretation. However, there has been controversy about the diagnostic accuracy of RDTs. This study was conducted to evaluate the diagnostic performances of the 2 commercially available malaria RDT kits, RapiGEN Malaria Ag Pf/Pv (pLDH/pLDH) and Asan $EasyTest^{TM}$ Malaria Ag Pf/Pv (HRP-2/pLDH) for their abilities to detect Plasmodium species in blood samples collected from Ugandan patients with malaria. To evaluate the diagnostic performances of these 2 RDT kits, 229 blood samples were tested for malaria infection by microscopic examination and a species-specific nested polymerase chain reaction. The detection sensitivities for P. falciparum of Malaria Ag Pf/Pv (pLDH/pLDH) and Asan $EasyTest^{TM}$ Malaria Ag Pf/Pv (HRP-2/pLDH) were 87.83% and 89.57%, respectively. The specificities of the 2 RDTs were 100% for P. falciparum and mixed P. falciparum/P. vivax infections. These results suggest that the 2 RDT kits showed reasonable levels of diagnostic performances for detection of the malaria parasites from Ugandan patients. However, neither kit could effectively detect P. falciparum infections with low parasitaemia (<$500parasites/{\mu}l$).

Learning Evaluation System Based on Fuzzy Inference (퍼지 추론기반 학습평가 시스템)

  • Kang, Jeon-Geun
    • Journal of the Korea Computer Industry Society
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    • v.8 no.3
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    • pp.147-154
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    • 2007
  • Many studies have reported that each evaluation had a stronger effect on the development of a student's teaming ability. Nevertheless, in reality schools rely on the results of summative evaluation after the lesson only for the purpose of learning evaluation. Such a method of evaluation is a result-oriented learning evaluation, with no consideration of developing process of loaming ability of each student. Existing learning evaluation has been considered difficult to process learning performance ability in a clearer manner, as it examines teaming performance ability by diagnostic evaluation and learning ability improvement by formative evaluation, separately. Therefore, this paper proposes a learning evaluation method incorporating diagnostic and formative evaluation, using a Fuzzy inference, for a more objective assessment of performance ability. The proposed method assessed teaming ability based on different weight values, in order to reflect the level of diagnostic and formative evaluation.

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IOTA Simple Rules in Differentiating between Benign and Malignant Ovarian Tumors

  • Tantipalakorn, Charuwan;Wanapirak, Chanane;Khunamornpong, Surapan;Sukpan, Kornkanok;Tongsong, Theera
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.13
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    • pp.5123-5126
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    • 2014
  • Background: To evaluate the diagnostic performance of IOTA simple rules in differentiating between benign and malignant ovarian tumors. Materials and Methods: A study of diagnostic performance was conducted on women scheduled for elective surgery due to ovarian masses between March 2007 and March 2012. All patients underwent ultrasound examination for IOTA simple rules within 24 hours of surgery. All examinations were performed by the authors, who had no any clinical information of the patients, to differentiate between benign and malignant adnexal masses using IOTA simple rules. Gold standard diagnosis was based on pathological or operative findings. Results: A total of 398 adnexal masses, in 376 women, were available for analysis. Of them, the IOTA simple rules could be applied in 319 (80.1%) including 212 (66.5%) benign tumors and 107 (33.6%) malignant tumors. The simple rules yielded inconclusive results in 79 (19.9%) masses. In the 319 masses for which the IOTA simple rules could be applied, sensitivity was 82.9% and specificity 95.3%. Conclusions: The IOTA simple rules have high diagnostic performance in differentiating between benign and malignant adnexal masses. Nevertheless, inconclusive results are relatively common.

Data Acquisition System Applying TMO for GIS Preventive Diagnostic System (GIS 예방진단시스템을 위한 TMO 응용 데이터 수집 시스템)

  • Kim, Tae-Wan;Kim, Yun-Gwan;Jang, Cheon-Hyeon
    • The KIPS Transactions:PartA
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    • v.16A no.6
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    • pp.481-488
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    • 2009
  • GIS is used to isolate large power electrical equipment using SF6 gas. While GIS has simple structure, it has few break down, relatively high reliability. But it is hard to check up faults for reason of pressure. Faults of GIS should have a ripple effect on community and be hard to recovery. Consequently, GIS imports a preventive diagnostic system to find internal faults in advance. It is most important that reliability on the GIS preventive diagnostic system, because it estimates abnormality of system by analysis result of collected data. But, exist system which used central data management is low efficiency, and hard to guarantee timeliness and accuracy of data. To guarantee timeliness and accuracy, the GIS preventive diagnostic system needs accordingly to use a real-time middleware. So, in this paper, to improve reliability of the GIS preventive diagnostic system, we use a middleware based on TMO for guaranteeing timeliness of real-time distributed computing. And we propose an improved GIS preventive diagnostic system applying data acquisition, monitoring and control methods based on the TMO model. The presented system uses the Communication Control Unit(CCU) for distributed data handling which is supported by TMO. CCU can improve performance of the GIS preventive diagnostic system by guaranteeing timeliness of data handling process and increasing reliability of data through the TMO middleware. And, it has designed to take full charge of overload on a data acquisition task had been processed in an exist server. So, it could reduce overload of the server and apply distribution environment from now. Therefore, the proposed system can improve performance and reliability of the GIS preventive diagnostic system and contribute to stable operation of GIS.