• Title/Summary/Keyword: Precision medicine

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New methods for optical distance indicator and gantry angle quality control tests in medical linear accelerators: image processing by using a 3D phantom

  • Shandiz, Mahdi Heravian;Layen, Ghorban Safaeian;Anvari, Kazem;Khalilzadeh, Mohammadmahdi
    • Radiation Oncology Journal
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    • v.33 no.1
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    • pp.42-49
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    • 2015
  • Purpose: In order to keep the acceptable level of the radiation oncology linear accelerators, it is necessary to apply a reliable quality assurance (QA) program. Materials and Methods: The QA protocols, published by authoritative organizations, such as the American Association of Physicists in Medicine (AAPM), determine the quality control (QC) tests which should be performed on the medical linear accelerators and the threshold levels for each test. The purpose of this study is to increase the accuracy and precision of the selected QC tests in order to increase the quality of treatment and also increase the speed of the tests to convince the crowded centers to start a reliable QA program. A new method has been developed for two of the QC tests; optical distance indicator (ODI) QC test as a daily test and gantry angle QC test as a monthly test. This method uses an image processing approach utilizing the snapshots taken by the CCD camera to measure the source to surface distance (SSD) and gantry angle. Results: The new method of ODI QC test has an accuracy of 99.95% with a standard deviation of 0.061 cm and the new method for gantry angle QC has a precision of $0.43^{\circ}$. The automated proposed method which is used for both ODI and gantry angle QC tests, contains highly accurate and precise results which are objective and the human-caused errors have no effect on the results. Conclusion: The results show that they are in the acceptable range for both of the QC tests, according to AAPM task group 142.

Fabrication of 3D PCL/PLGA/TCP Bio-scaffold using Multi-head Deposition System and Design of Experiment (다축 적층 시스템과 실험 계획법을 이용한 3차원 PCL/PLGA/ICP 바이오 인 공지지체 제작)

  • Kim, Jong-Young;Yoon, Jun-Jin;Park, Eui-Kyun;Kim, Shin-Yoon;Cho, Dong-Woo
    • Journal of the Korean Society for Precision Engineering
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    • v.26 no.1
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    • pp.146-154
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    • 2009
  • In recent tissue engineering field, it is being reported that the fabrication of 3D scaffolds having high porous and controlled internal/external architectures can give potential contributions in cell adhesion, proliferation and differentiation. To fabricate these scaffolds, various solid free-form fabrication technologies are being applied. The solid free-form fabrication technology has made it possible to fabricate solid free-form 3D microstructures in layer-by-layer manner. In this research, we developed a multi-head deposition system (MHDS) and used design of experiment (DOE) to fabricate 3D scaffold having an optimized internal/external shape, Through the organization of experimental approach using DOE, the fabrication process of scaffold, which is composed of blended poly-caprolactone (PCL), poly-lactic-co-glycolic acid (PLGA) and tricalcium phosphate (TCP), is established to get uniform line width, line height and porosity efficiently Moreover, the feasibility of application to the tissue engineering of MHDS is demonstrated by human bone marrow stromal cells (hBMSCs) proliferation test.

A simple statistical model for determining the admission or discharge of dyspnea patients (호흡곤란 환자의 입퇴원 결정을 위한 간편 통계모형)

  • Park, Cheol-Yong;Kim, Tae-Yoon;Kwon, O-Jin;Park, Hyoung-Seob
    • Journal of the Korean Data and Information Science Society
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    • v.21 no.2
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    • pp.279-289
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    • 2010
  • In this study, we propose a simple statistical model for determining the admission or discharge of 668 patients with a chief complaint of dyspnea. For this, we use 11 explanatory variables which are chosen to be important by clinical experts among 55 variables. As a modification process, we determine the discharge interval of each variable by the kernel density functions of the admitted and discharged patients. We then choose the optimal model for determining the discharge of patients based on the number of explanatory variables belonging to the corresponding discharge intervals. Since the numbers of the admitted and discharged patients are not balanced, we use, as the criteria for selecting the optimal model, the arithmetic mean of sensitivity and specificity and the harmonic mean of sensitivity and precision. The selected optimal model predicts the discharge if 7 or more explanatory variables belong to the corresponding discharge intervals.

Long-Term Analysis for the effect of Ovariectomy on Rat Bone using Micro Finite Element Method (미세 유한요소법을 이용한 난소제거가 쥐뼈에 미치는 영향의 장기간 분석)

  • Ko C.Y;Woo D.G.;Lee T.W.;Kim H.S.;Lee B.Y.;Tack G.R.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2005.10a
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    • pp.236-239
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    • 2005
  • This study investigated the effect of ovariectomy (OVX) on the rat bone fur long term (22 weeks). In previous researches, there were many studies for morphology of OVX-induced osteoporotic bones based on micro-Computed Tomography (micro-CT). However, there were few studies fpr detecting and tracking changes of mechanical characteristics in the lumbar vertebrae of OVX rat fur long-term. For this study, one female Sprague-Dawley rat was used: an OVX rat. The 4th lumbar of the OVX rat was utilized as a specimen. Morphological characteristics could be investigated fur the lumbar vertebrae in an OVX rat by using in-vivo Micro-CT. An OVX rat was scanned at week 0 (just before surgery), at week 4, at week 8, at week 16 and at week 22 after surgery. Micro finite element $({\mu}FE)$ analysis was used to investigate mechanical characteristics in the lumbar vertebrae for an OVX rat.

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Guideline on Acceptance Test and Commissioning of High-Precision External Radiation Therapy Equipment

  • Kim, Juhye;Shin, Dong Oh;Choi, Sang Hyoun;Min, Soonki;Kwon, Nahye;Jung, Unjung;Kim, Dong Wook
    • Progress in Medical Physics
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    • v.29 no.4
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    • pp.123-136
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    • 2018
  • The complex dose distribution and dose transfer characteristics of intensity-modulated radiotherapy increase the importance of precise beam data measurement and review in the acceptance inspection and preparation stages. In this study, we propose a process map for the introduction and installation of high-precision radiotherapy devices and present items and guidelines for risk management at the acceptance test procedure (ATP) and commissioning stages. Based on the ATP of the Varian and Elekta linear accelerators, the ATP items were checked step by step and compared with the quality assurance (QA) test items of the AAPM TG-142 described for the medical accelerator QA. Based on the commissioning procedure, dose quality control protocol, and mechanical quality control protocol presented at international conferences, step-by-step check items and commissioning guidelines were derived. The risk management items at each stage were (1) 21 ionization chamber performance test items and 9 electrometer, cable, and connector inspection items related to the dosimetry system; (2) 34 mechanical and dose-checking items during ATP, 22 multileaf collimator (MLC) items, and 36 imaging system items; and (3) 28 items in the measurement preparation stage and 32 items in the measurement stage after commissioning. Because the items presented in these guidelines are limited in terms of special treatment, items and practitioners can be modified to reflect the clinical needs of the institution. During the system installation, it is recommended that at least two clinically qualified medical physicists (CQMP) perform a double check in compliance with the two-person rule. We expect that this result will be useful as a radiation safety management tool that can prevent radiation accidents at each stage during the introduction of radiotherapy and the system installation process.

Evaluation of Lead Oxide Dosimeter for Quality Assurance of Electron Beam in Radiotherapy (방사선치료 전자선의 정도관리를 위한 Lead Oxide 선량계 평가)

  • Yang, Seungwoo;Han, Moojae;Park, Sungkwang
    • Journal of the Korean Society of Radiology
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    • v.15 no.1
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    • pp.79-83
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    • 2021
  • In radiation therapy, electron beam is often used in the treatment of superficial lesion. Accurate measurements are required because electron beam interacts with them in the beam path and affects dose measurements. However, no research has been conducted on electron beam quality assurance. in this study, PbO-based dosimeter was fabricated as a basic study for electron beam quality assurance. Thus, the reproducibility and linearity of the energy of 6, 9, and 12 MeV were analyzed to evaluate measurement accuracy and precision. Reproducibility measurements show RSD value of 1.024%, 1.019% and 0.890%, respectively, at 6, 9, and 12 MeV. linearity measurements show 0.9999 R2 at 6, 9, and 12 MeV altogether. Both evaluations show that the PbO dosimeter has very good measurement accuracy and precision with excellent results.

Disease Prediction By Learning Clinical Concept Relations (딥러닝 기반 임상 관계 학습을 통한 질병 예측)

  • Jo, Seung-Hyeon;Lee, Kyung-Soon
    • KIPS Transactions on Software and Data Engineering
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    • v.11 no.1
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    • pp.35-40
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    • 2022
  • In this paper, we propose a method of constructing clinical knowledge with clinical concept relations and predicting diseases based on a deep learning model to support clinical decision-making. Clinical terms in UMLS(Unified Medical Language System) and cancer-related medical knowledge are classified into five categories. Medical related documents in Wikipedia are extracted using the classified clinical terms. Clinical concept relations are established by matching the extracted medical related documents with the extracted clinical terms. After deep learning using clinical knowledge, a disease is predicted based on medical terms expressed in a query. Thereafter, medical terms related to the predicted disease are selected as an extended query for clinical document retrieval. To validate our method, we have experimented on TREC Clinical Decision Support (CDS) and TREC Precision Medicine (PM) test collections.

Object detection and tracking using a high-performance artificial intelligence-based 3D depth camera: towards early detection of African swine fever

  • Ryu, Harry Wooseuk;Tai, Joo Ho
    • Journal of Veterinary Science
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    • v.23 no.1
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    • pp.17.1-17.10
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    • 2022
  • Background: Inspection of livestock farms using surveillance cameras is emerging as a means of early detection of transboundary animal disease such as African swine fever (ASF). Object tracking, a developing technology derived from object detection aims to the consistent identification of individual objects in farms. Objectives: This study was conducted as a preliminary investigation for practical application to livestock farms. With the use of a high-performance artificial intelligence (AI)-based 3D depth camera, the aim is to establish a pathway for utilizing AI models to perform advanced object tracking. Methods: Multiple crossovers by two humans will be simulated to investigate the potential of object tracking. Inspection of consistent identification will be the evidence of object tracking after crossing over. Two AI models, a fast model and an accurate model, were tested and compared with regard to their object tracking performance in 3D. Finally, the recording of pig pen was also processed with aforementioned AI model to test the possibility of 3D object detection. Results: Both AI successfully processed and provided a 3D bounding box, identification number, and distance away from camera for each individual human. The accurate detection model had better evidence than the fast detection model on 3D object tracking and showed the potential application onto pigs as a livestock. Conclusions: Preparing a custom dataset to train AI models in an appropriate farm is required for proper 3D object detection to operate object tracking for pigs at an ideal level. This will allow the farm to smoothly transit traditional methods to ASF-preventing precision livestock farming.

Simultaneous Analysis of Six Constituents in Oyaksungi-san using HPLC-PDA (HPLC-PDA를 이용한 오약순기산 중 6종 성분의 동시분석)

  • Seo, Chang-Seob;Kim, Jung-Hoon;Shin, Hyeun-Kyoo
    • Herbal Formula Science
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    • v.20 no.2
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    • pp.37-46
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    • 2012
  • Objectives : Oyaksungi-san(Wuyaoshunqisan) has been used for treatment of stroke and rheumatoid arthritis in Korea. In this study, a simple and accurate high-performance liquid chromatography(HPLC) method was established for simultaneous determination of six main components, liquiritin, ferulic acid, naringin, hesperidin, neohesperidin, and glycyrrhizin in Oyaksungi-san, a traditional Korean herbal prescription. Methods : The analytical column for separation of six constituents was used a Gemini $C_{18}$ column maintained at $40^{\circ}C$. The mobile phase consisted of two solvent systems, 1.0% (v/v) acetic acid in $H_2O$ (A) and 1.0% (v/v) acetic acid in acetonitrile (B) by gradient flow. The flow rate was 1.0 mL/min and the detector was a photodiode array (PDA) set at 254 nm for glycyrrhizin, 280 nm for liquiritin, naringin, hesperidin, and neohesperidin, and 320 nm for ferulic acid. Results : Calibration curves were acquired with $r^2$ values ${\geq}0.9998$. The results of recovery test were 91.58%-105.90% with a relative standard deviations (RSDs, %) value less than 2.0%. The values of RSD for intra- and inter-day precision were 0.03%-1.72% and 0.03%-1.63%, respectively. The contents of the six compounds in Oyaksungi-san were 0.33-9.30 mg/g. Conclusions : The newly established HPLC method will be helpful to improve quality control of Oyaksungi-san.

Anti-inflammatory Effects of Ethanol Extract of Various Korean Compositae Herbs in LPS-induced RAW 264.7 Macrophages

  • Seo, Min-gyu;Kang, Yun-Mi;Chung, Kyung-Sook;Cheon, Se-Yun;Park, Jong Hyuk;Lee, Young-Cheol;An, Hyo-Jin
    • The Korea Journal of Herbology
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    • v.32 no.2
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    • pp.17-24
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    • 2017
  • Objective : This study was designed to evaluate candidate materials as anti-inflammation agent from extracts of various Korean Compositae herbs in Hwaak mountain. Among Korea medicinal herbs, Ainsliaea acerifolia (AA) belongs to the Compositae family, has been used for the treatment of rheumatic arthritis. However, AA has not been previously reported to have an anti-inflammatory effect. Therefore, we investigated the anti-inflammatory effects of AA and its underlying molecular mechanisms in lipopolysaccharide (LPS)-induced RAW 264.7 macrophages. Methods : Cell viability was determined by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay in RAW 264.7 macrophages. Nitric oxide (NO) was measured with Griess reagent and pro-inflammatory cytokines were detected by enzyme immunoassay (EIA) kits in LPS-stimulated RAW 264.7 macrophages. Protein expressions of inducible nitric oxide synthase, and cyclooxygenase-2 (COX-2) and p65 subunit of nuclear $factor-{\kappa}B$ ($NF-{\kappa}B$) were determined by Western blot analysis. Results : Among 8 extracts of Korean Compositae herbs tested, AA showed the inhibition of NO production without cytotoxicity. Consistent with the observation, AA reduced the expression levels of iNOS and COX-2 proteins in LPS-simulated RAW 264.7 macrophages in dose-dependent manner. In addition, AA inhibited the productions of $TNF-{\alpha}$ and IL-6 in LPS-simulated RAW 264.7 macrophages. However, AA did not inhibit activation of p65 $NF-{\kappa}B$ in LPS-simulated RAW 264.7 macrophages. Conclusion : These results suggest that down-regulation of iNOS, COX-2 protein expression and $TNF-{\alpha}$ and IL-6 production by AA are responsible for its anti-inflammatory effects.