• Title/Summary/Keyword: Performance-Based

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T1 Map-Based Radiomics for Prediction of Left Ventricular Reverse Remodeling in Patients With Nonischemic Dilated Cardiomyopathy

  • Suyon Chang;Kyunghwa Han;Yonghan Kwon;Lina Kim;Seunghyun Hwang;Hwiyoung Kim;Byoung Wook Choi
    • Korean Journal of Radiology
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    • v.24 no.5
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    • pp.395-405
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    • 2023
  • Objective: This study aimed to develop and validate models using radiomics features on a native T1 map from cardiac magnetic resonance (CMR) to predict left ventricular reverse remodeling (LVRR) in patients with nonischemic dilated cardiomyopathy (NIDCM). Materials and Methods: Data from 274 patients with NIDCM who underwent CMR imaging with T1 mapping at Severance Hospital between April 2012 and December 2018 were retrospectively reviewed. Radiomic features were extracted from the native T1 maps. LVRR was determined using echocardiography performed ≥ 180 days after the CMR. The radiomics score was generated using the least absolute shrinkage and selection operator logistic regression models. Clinical, clinical + late gadolinium enhancement (LGE), clinical + radiomics, and clinical + LGE + radiomics models were built using a logistic regression method to predict LVRR. For internal validation of the result, bootstrap validation with 1000 resampling iterations was performed, and the optimism-corrected area under the receiver operating characteristic curve (AUC) with 95% confidence interval (CI) was computed. Model performance was compared using AUC with the DeLong test and bootstrap. Results: Among 274 patients, 123 (44.9%) were classified as LVRR-positive and 151 (55.1%) as LVRR-negative. The optimism-corrected AUC of the radiomics model in internal validation with bootstrapping was 0.753 (95% CI, 0.698-0.813). The clinical + radiomics model revealed a higher optimism-corrected AUC than that of the clinical + LGE model (0.794 vs. 0.716; difference, 0.078 [99% CI, 0.003-0.151]). The clinical + LGE + radiomics model significantly improved the prediction of LVRR compared with the clinical + LGE model (optimism-corrected AUC of 0.811 vs. 0.716; difference, 0.095 [99% CI, 0.022-0.139]). Conclusion: The radiomic characteristics extracted from a non-enhanced T1 map may improve the prediction of LVRR and offer added value over traditional LGE in patients with NIDCM. Additional external validation research is required.

Development and Validation of 18F-FDG PET/CT-Based Multivariable Clinical Prediction Models for the Identification of Malignancy-Associated Hemophagocytic Lymphohistiocytosis

  • Xu Yang;Xia Lu;Jun Liu;Ying Kan;Wei Wang;Shuxin Zhang;Lei Liu;Jixia Li;Jigang Yang
    • Korean Journal of Radiology
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    • v.23 no.4
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    • pp.466-478
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    • 2022
  • Objective: 18F-fluorodeoxyglucose (FDG) PET/CT is often used for detecting malignancy in patients with newly diagnosed hemophagocytic lymphohistiocytosis (HLH), with acceptable sensitivity but relatively low specificity. The aim of this study was to improve the diagnostic ability of 18F-FDG PET/CT in identifying malignancy in patients with HLH by combining 18F-FDG PET/CT and clinical parameters. Materials and Methods: Ninety-seven patients (age ≥ 14 years) with secondary HLH were retrospectively reviewed and divided into the derivation (n = 71) and validation (n = 26) cohorts according to admission time. In the derivation cohort, 22 patients had malignancy-associated HLH (M-HLH) and 49 patients had non-malignancy-associated HLH (NM-HLH). Data on pretreatment 18F-FDG PET/CT and laboratory results were collected. The variables were analyzed using the Mann-Whitney U test or Pearson's chi-square test, and a nomogram for predicting M-HLH was constructed using multivariable binary logistic regression. The predictors were also ranked using decision-tree analysis. The nomogram and decision tree were validated in the validation cohort (10 patients with M-HLH and 16 patients with NM-HLH). Results: The ratio of the maximal standardized uptake value (SUVmax) of the lymph nodes to that of the mediastinum, the ratio of the SUVmax of bone lesions or bone marrow to that of the mediastinum, and age were selected for constructing the model. The nomogram showed good performance in predicting M-HLH in the validation cohort, with an area under the receiver operating characteristic curve of 0.875 (95% confidence interval, 0.686-0.971). At an appropriate cutoff value, the sensitivity and specificity for identifying M-HLH were 90% (9/10) and 68.8% (11/16), respectively. The decision tree integrating the same variables showed 70% (7/10) sensitivity and 93.8% (15/16) specificity for identifying M-HLH. In comparison, visual analysis of 18F-FDG PET/CT images demonstrated 100% (10/10) sensitivity and 12.5% (2/16) specificity. Conclusion: 18F-FDG PET/CT may be a practical technique for identifying M-HLH. The model constructed using 18F-FDG PET/CT features and age was able to detect malignancy with better accuracy than visual analysis of 18F-FDG PET/CT images.

Automated Measurement of Native T1 and Extracellular Volume Fraction in Cardiac Magnetic Resonance Imaging Using a Commercially Available Deep Learning Algorithm

  • Suyon Chang;Kyunghwa Han;Suji Lee;Young Joong Yang;Pan Ki Kim;Byoung Wook Choi;Young Joo Suh
    • Korean Journal of Radiology
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    • v.23 no.12
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    • pp.1251-1259
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    • 2022
  • Objective: T1 mapping provides valuable information regarding cardiomyopathies. Manual drawing is time consuming and prone to subjective errors. Therefore, this study aimed to test a DL algorithm for the automated measurement of native T1 and extracellular volume (ECV) fractions in cardiac magnetic resonance (CMR) imaging with a temporally separated dataset. Materials and Methods: CMR images obtained for 95 participants (mean age ± standard deviation, 54.5 ± 15.2 years), including 36 left ventricular hypertrophy (12 hypertrophic cardiomyopathy, 12 Fabry disease, and 12 amyloidosis), 32 dilated cardiomyopathy, and 27 healthy volunteers, were included. A commercial deep learning (DL) algorithm based on 2D U-net (Myomics-T1 software, version 1.0.0) was used for the automated analysis of T1 maps. Four radiologists, as study readers, performed manual analysis. The reference standard was the consensus result of the manual analysis by two additional expert readers. The segmentation performance of the DL algorithm and the correlation and agreement between the automated measurement and the reference standard were assessed. Interobserver agreement among the four radiologists was analyzed. Results: DL successfully segmented the myocardium in 99.3% of slices in the native T1 map and 89.8% of slices in the post-T1 map with Dice similarity coefficients of 0.86 ± 0.05 and 0.74 ± 0.17, respectively. Native T1 and ECV showed strong correlation and agreement between DL and the reference: for T1, r = 0.967 (95% confidence interval [CI], 0.951-0.978) and bias of 9.5 msec (95% limits of agreement [LOA], -23.6-42.6 msec); for ECV, r = 0.987 (95% CI, 0.980-0.991) and bias of 0.7% (95% LOA, -2.8%-4.2%) on per-subject basis. Agreements between DL and each of the four radiologists were excellent (intraclass correlation coefficient [ICC] of 0.98-0.99 for both native T1 and ECV), comparable to the pairwise agreement between the radiologists (ICC of 0.97-1.00 and 0.99-1.00 for native T1 and ECV, respectively). Conclusion: The DL algorithm allowed automated T1 and ECV measurements comparable to those of radiologists.

A Study on the Perception of Predatory Journals among Members of the Korea Researcher Communities (국내 연구자 커뮤니티 구성원의 부실 학술지 인식에 대한 연구)

  • Myoung-A Hong;Wonsik Shim
    • Journal of the Korean Society for information Management
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    • v.41 no.2
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    • pp.97-130
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    • 2024
  • The current debate in the academic community is on the criteria for predatory journals. Researchers are perplexed about what constitutes a predatory journal. The purpose of this study is to investigate how South Korean researchers discover and evaluate predatory journals. In order to achieve this, we collected 2,484 statements, comprising posts and comments, from Korean researcher communities, namely the Biological Research Information Center (BRIC), Hibrain.net, Phdkim.net, and the Scholarly Ecosystem Against Fake Publication Environment (SAFE). We divided the data into three primary categories-journals, publishers, and researchers-for the topic analysis. For each statement, we assigned 11 in-depth subtopic tags based on these categories. Six main points of contention emerged from the combinations of these sub-topic tags: (1) researchers' confusion about predatory journals and discussions about research performance; (2)(3) researchers' positive and negative perceptions of predatory journals; (4) researchers' evaluation criteria for journal quality and problems associated with the quality of Korean journals; (5) changes in publishing brought about by the introduction of open access (OA) and associated issues; and (6) discussions on broader issues within the academic ecosystem. By using a qualitative approach to examine how South Korean researchers view predatory journals, this study aims to advance basic knowledge of the discourse around them in the communities of domestic researchers.

Development of algorithm for work intensity evaluation using excess overwork index of construction workers with real-time heart rate measurement device

  • Jae-young Park;Jung Hwan Lee;Mo-Yeol Kang;Tae-Won Jang;Hyoung-Ryoul Kim;Se-Yeong Kim;Jongin Lee
    • Annals of Occupational and Environmental Medicine
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    • v.35
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    • pp.24.1-24.15
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    • 2023
  • Background: The construction workers are vulnerable to fatigue due to high physical workload. This study aimed to investigate the relationship between overwork and heart rate in construction workers and propose a scheme to prevent overwork in advance. Methods: We measured the heart rates of construction workers at a construction site of a residential and commercial complex in Seoul from August to October 2021 and develop an index that monitors overwork in real-time. A total of 66 Korean workers participated in the study, wearing real-time heart rate monitoring equipment. The relative heart rate (RHR) was calculated using the minimum and maximum heart rates, and the maximum acceptable working time (MAWT) was estimated using RHR to calculate the workload. The overwork index (OI) was defined as the cumulative workload evaluated with the MAWT. An appropriate scenario line (PSL) was set as an index that can be compared to the OI to evaluate the degree of overwork in real-time. The excess overwork index (EOI) was evaluated in real-time during work performance using the difference between the OI and the PSL. The EOI value was used to perform receiver operating characteristic (ROC) curve analysis to find the optimal cut-off value for classification of overwork state. Results: Of the 60 participants analyzed, 28 (46.7%) were classified as the overwork group based on their RHR. ROC curve analysis showed that the EOI was a good predictor of overwork, with an area under the curve of 0.824. The optimal cut-off values ranged from 21.8% to 24.0% depending on the method used to determine the cut-off point. Conclusion: The EOI showed promising results as a predictive tool to assess overwork in real-time using heart rate monitoring and calculation through MAWT. Further research is needed to assess physical workload accurately and determine cut-off values across industries.

The impact of sports rehabilitation education on career and employment will through psychological resistance (스포츠 재활 교육이 심리적 반발을 통해 진로 및 취업 의지에 미치는 영향)

  • Song Ki-Jae
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.2
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    • pp.187-199
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    • 2024
  • Due to the educational ecosystem in South Korea, there is a significant need to explore a new balance for students who pursue sports rehabilitation education based on their academic performance, in order to help them adapt to their majors, find career paths, and foster motivation for employment. There is a lack of related research in this crucial phase. The purpose of this study is to ascertain the impact of sports rehabilitation education on career aspirations and employment motivation through psychological reactions. The research methodology involved conducting an online survey from December 11th to December 28th, 2023, targeting university students undergoing sports rehabilitation education, with a final collection of 212 survey responses used for analysis. The research findings indicate: firstly, that the knowledge of sports rehabilitation educators has a positive influence on voluntary psychology. Secondly, the competence of sports rehabilitation educators has a positive impact on voluntary psychology. Thirdly, the attitude of sports rehabilitation educators negatively affects involuntary psychology. Fourthly, voluntary psychology positively influences career aspirations. Finally, voluntary psychology positively influences employment motivation, while conversely, involuntary psychology negatively affects employment motivation. These research results are expected to contribute to the development of sports rehabilitation education that influences career paths and employment motivation through psychological reactions.

One-shot multi-speaker text-to-speech using RawNet3 speaker representation (RawNet3를 통해 추출한 화자 특성 기반 원샷 다화자 음성합성 시스템)

  • Sohee Han;Jisub Um;Hoirin Kim
    • Phonetics and Speech Sciences
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    • v.16 no.1
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    • pp.67-76
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    • 2024
  • Recent advances in text-to-speech (TTS) technology have significantly improved the quality of synthesized speech, reaching a level where it can closely imitate natural human speech. Especially, TTS models offering various voice characteristics and personalized speech, are widely utilized in fields such as artificial intelligence (AI) tutors, advertising, and video dubbing. Accordingly, in this paper, we propose a one-shot multi-speaker TTS system that can ensure acoustic diversity and synthesize personalized voice by generating speech using unseen target speakers' utterances. The proposed model integrates a speaker encoder into a TTS model consisting of the FastSpeech2 acoustic model and the HiFi-GAN vocoder. The speaker encoder, based on the pre-trained RawNet3, extracts speaker-specific voice features. Furthermore, the proposed approach not only includes an English one-shot multi-speaker TTS but also introduces a Korean one-shot multi-speaker TTS. We evaluate naturalness and speaker similarity of the generated speech using objective and subjective metrics. In the subjective evaluation, the proposed Korean one-shot multi-speaker TTS obtained naturalness mean opinion score (NMOS) of 3.36 and similarity MOS (SMOS) of 3.16. The objective evaluation of the proposed English and Korean one-shot multi-speaker TTS showed a prediction MOS (P-MOS) of 2.54 and 3.74, respectively. These results indicate that the performance of our proposed model is improved over the baseline models in terms of both naturalness and speaker similarity.

Sonographic Assessment of the Extent of Extrathyroidal Extension in Thyroid Cancer

  • Sae Rom Chung;Jung Hwan Baek;Young Jun Choi;Tae-Yon Sung;Dong Eun Song;Tae Yong Kim;Jeong Hyun Lee
    • Korean Journal of Radiology
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    • v.21 no.10
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    • pp.1187-1195
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    • 2020
  • Objective: This study aimed to determine the sonographic features suggestive of extrathyroidal extension (ETE) of thyroid cancers. Materials and Methods: We retrospectively reviewed the sonographic images of 1656 consecutive patients who had undergone thyroidectomy in 2017. The diagnostic performance of sonographic features suggestive of ETE was evaluated using operation and histopathologic reports. Sonographic features for gross ETE to the strap muscle and minor ETE were assessed for thyroid cancer abutting the anterolateral thyroid capsule. Sonographic features for tracheal invasion were assessed according to whether the angle between the tumor and the trachea was an acute, right, or obtuse angle. Sonographic features for recurrent laryngeal nerve (RLN) invasion were assessed based on the association between the tumor and tracheoesophageal groove (TEG) as preserved normal tissue, abutting or protruding into the TEG. Results: ETE was observed in 783 patients (47.3%), including 123 patients with gross ETE (7.4% [strap muscle, n = 97; RLN, n = 24; and trachea, n = 14]) and 660 patients with minor ETE (39.9%). Regarding the diagnosis of gross and minor ETE to the strap muscle, sonographic features of replacement of the strap muscle and capsular disruption showed the highest positive predictive value (75.9% and 58.5%, respectively). Thyroid cancer forming an obtuse angle with the trachea had the highest sensitivity for the diagnosis of tracheal invasion (85.7%), and thyroid cancer protrusion into the TEG showed the highest sensitivity for the diagnosis of RLN (83.3%). Conclusion: Sonography is considered beneficial in the diagnosis of ETE to the strap muscle, trachea, and RLN. Assessment of ETE is important for the accurate staging of thyroid cancer, which in turn determines the extent of surgery or whether active surveillance is appropriate or not.

Analysis of Topic Changes in Metaverse Application Reviews Before and After the COVID-19 Pandemic Using Causal Impact Analysis Techniques (Causal Impact 분석 기법을 접목한 COVID-19 팬데믹 전·후 메타버스 애플리케이션 리뷰의 토픽 변화 분석)

  • Lee, Sowon;Mijin Noh;MuMoungCho Han;YangSok Kim
    • Smart Media Journal
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    • v.13 no.1
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    • pp.36-44
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    • 2024
  • Metaverse is attracting attention as the development of virtual environment technology and the emergence of untact culture due to the COVID-19 pandemic. In this study, by analyzing users' reviews on the "Zepeto" application, which has recently attracted attention as a metaverse service, we tried to confirm changes in the requirements for the metaverse after the COVID-19 pandemic. To this end, 109,662 reviews of "Zepeto" applications written on the Google Play Store from September 2018 to March 2023 were collected, topics were extracted using LDA topic modeling technique, and topics were analyzed using the Causal Impact technique to examine how topics changed before and after based on "March 11, 2020" when the COVID-19 pandemic was declared. As a result of the analysis, five topics were extracted: application functional problems (topic1), security problems (topic 2), complaints about cryptocurrency (Zem) in the application (topic 3), application performance (topic 4), and personal information-related problems (topic 5). Among them, it was confirmed that security problems (topic 2) were most affected by the COVID-19 pandemic.

Evaluation of excavation damage zone during TBM excavation - A large deformation FE analysis study (TBM 굴착으로 인한 굴착손상영역 범위 추정 - 대변형 수치해석 연구)

  • Seheon Kim;Dohyun Kim
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.26 no.1
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    • pp.1-17
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    • 2024
  • Analyzing the tunnel excavation behavior and its effect on the surrounding ground involves large deformation behavior. Therefore, in order to properly simulate the tunnel excavation process and rigorously investigate the actual effect of excavation on surrounding ground and tunnel structure large deformation analysis method is required. In this study, two major numerical approaches capable of considering large deformations behavior were applied to investigate the effect of tunnel boring machine excavation on the surrounding ground: coupled Eulerian-Lagrangian (CEL) and the automatic remeshing (AR) method. Relative performance of both approaches was evaluated through the ground response due to TBM excavation. The ground response will be quantified by estimating the range of the excavation damaged zone (EDZ). By comparing the results, the range of the EDZ will be suggested on the vertical and horizontal direction along the TBM excavation surface. Based on the computed results, it was found that the size of EDZ around the excavation surface and the tendencies was in good agreement among the two approaches. Numerical results clearly show that the size of the EDZ around the tunnel tends to be larger for rock with higher RMR rating. The size of the EDZ is found to be direct proportional to the tunnel diameter, whereas the depth of the tunnel is inversely proportional due to higher confinement stress around the excavation surface.