• Title/Summary/Keyword: ROC-Curve

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Evaluation of convergence Elasticity of Liver Fibroscan used measurement with Ultrasonography (초음파를 이용한 간 섬유화 스캔 검사의 융합 탄성도 측정 평가)

  • Kim, Min-Jeong;Han, Man-Seok;Jang, Jae-Uk
    • Journal of the Korea Convergence Society
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    • v.8 no.5
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    • pp.79-85
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    • 2017
  • The purpose of this research was to evaluate the clinical and the instrument of convergence utility of transient elastography (FibroScan(R):electromagnetic wave) in diagnosing and treating liver ailments through a comparison and an analysis between liver function blood test and transient elastography (FibroScan(R)) in patients with chronic hepatitis B virus infection. Of all the patients with chronic hepatitis B virus infection who visited clinic B in Daejeon City between July 1, 2015, and February 28, 2016, 75 who underwent a FibroScan(R) test were selected for this study. Their laboratory and liver function test results were compared for a correlation analysis before constructing an ROC (Receiver Operation Characteristic) curve. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) levels were 0.572 and 0.502, respectively, and showed highest correlation with fibrosis score, with statistical significance (p<0.000). Gamma glutamyltranspeptidase, total bilirubin, and alkaline phosphatase levels also showed relatively significant correlations in this order of sequence, while -fetoprotein and total protein levels did not show any statistically significant values. Albumin (-0.449) and platelet levels (-0.373) showed negative correlations with each other and no correlation with fibrosis score (p < 0.000). As liver fibrosis worsened, the accuracy of the ROC curve increased. At the F4 stage, which is the cirrhotic stage, the largest area under the curve was observed. FibroScan(R) showed significant correlation with the ALT (serum glutamic pyruvic transaminase) and AST (serum glutamic oxaloacetic transaminase) levels in the liver function test, which is a routine test for patients with chronic liver ailments. This implies that fibrosis correlates with liver inflammation severity.

Diagnostic Performance Using a Combination of MRI Findings for Evaluating Cognitive Decline (인지기능 저하평가를 위한 MR 영상 소견 조합의 진단능)

  • Jin Young Byun;Min Kyoung Lee;So Lyung Jung
    • Journal of the Korean Society of Radiology
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    • v.85 no.1
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    • pp.184-196
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    • 2024
  • Purpose We investigated potentially promising imaging findings and their combinations in the evaluation of cognitive decline. Materials and Methods This retrospective study included 138 patients with subjective cognitive impairments, who underwent brain MRI. We classified the same group of patients into Alzheimer's disease (AD) and non-AD groups, based on the neuropsychiatric evaluation. We analyzed imaging findings, including white matter hyperintensity (WMH) and cerebral microbleeds (CMBs), using the Kruskal-Wallis test for group comparison, and receiver operating characteristic (ROC) curve analysis for assessing the diagnostic performance of imaging findings. Results CMBs in the lobar or deep locations demonstrated higher prevalence in the patients with AD compared to those in the non-AD group. The presence of lobar CMBs combined with periventricular WMH (area under the ROC curve [AUC] = 0.702 [95% confidence interval: 0.599-0.806], p < 0.001) showed the highest performance in differentiation of AD from non-AD group. Conclusion Combinations of imaging findings can serve as useful additive diagnostic tools in the assessment of cognitive decline.

Establishment of Accuracy Criteria of Flood Inundation Map Using Quantitative Evaluation Indices (정량적 평가 지표를 활용한 호우피해 예측지도의 정확도 판단기준 설정)

  • Lee, Jin-Young;Kim, Dongkyun;Park, Kyung Woon;Kim, Tae-Woong
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.39 no.3
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    • pp.381-389
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    • 2019
  • It is important to estimate flood overflow because adverse weather phenomena are frequently occurring in recent years. In order to cope with such abnormal floods, it is essential to perform flood inundation simulations for constructing flood inundation maps as nonstructural countermeasures. However, there is no quantitative evaluation method and criterion for flood inundation prediction. In this study, the Receiver Operation Characteristics (ROC) and Lee Sallee Shape Index (LSSI) were employed to quantitatively evaluate the accuracy of flood inundation maps for 10 administrative districts. Comparing predicted inundation maps with actual inundation trace maps, the ROC score was 0.631 and the LSSI was 25.16 %. Using the ROC and the LSSI, we proposed an evaluation criterion for flood inundation map. The average score was set as an intermediate score and distributed into 5 intervals. The validity of the evaluation criterion was investigated by applying to the XP-SWMM model, which has been verified and corrected. The ROC analysis result was 0.8496 and the LSSI was 51.92 %. It is considered that the proposed evaluation criteria can be applied to flood inundation maps.

The Cut Off Values for Diagnosing Cold Hypersensitivity of Hands by Using Digital Infrared Thermographic Imaging (적외선 체열 촬영을 이용한 수부냉증 진단의 절단값 산정)

  • Jo, Jun-Young;Park, Kyoung-Sun;Lee, Chang-Hoon;Jang, Jun-Bock;Lee, Kyung-Sub;Lee, Jin-Moo
    • The Journal of Korean Obstetrics and Gynecology
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    • v.25 no.3
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    • pp.95-102
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    • 2012
  • Purpose: The purpose of this study is to define the cut off values of cold hypersensitivity of hands by using digital infrared thermographic imaging(DITI). Methods: Thermographic images of 130 patients with cold hypersensitivity of hands(CHHG, n=65) and non-cold hypersensitivity of hands(NCHHG, n=65) were retrospectively reviewed. We used the temperature difference the palm(PC8) and the upper arm(LU4) for diagnosing cold hypersensitivity of hands. The temperature differences of between two groups were analysed using independent samples t-tests. The cut off values were calculated by ROC curve analysis. Analyses were undertaken using SPSS version 17.0. P value of < 0.05 was considered significant. Results: The temperature difference the palm(PC8) and the upper arm(LU4) were significantly different between groups(p < 0.001). Using receiver operating characteristic curve analysis, the sensitivity, specificity, and area under the curve were 70.8%, 73.8%, respectively both hands. The AUC was 0.822 on right hand and 0.818 on left hand. The optimum cut-off value was defined as $-0.05^{\circ}C$. Conclusions: These results suggest that DITI is a reliable instrument for estimating the cold hypersensitivity of hands.

Assessment of Linear Binary Classifiers and ROC Analysis for Flood Hazard Area Detection in North Korea (북한 홍수위험지역 탐지를 위한 선형이진분류법과 ROC분석의 적용성 평가)

  • Lee, Kyoung Sang;Lee, Dae Eop;Try, Sophal;Lee, Gi Ha
    • Proceedings of the Korea Water Resources Association Conference
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    • 2017.05a
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    • pp.370-370
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    • 2017
  • 최근 기후변화와 이상기후의 영향으로 인하여 홍수재해의 시 공간적 패턴은 보다 복잡해지고, 예측이 어려워지고 있다. 이러한 기상이변에 따른 홍수피해를 예방하기 위한 비구조적 대책으로 홍수위험등급 및 범람범위 등의 정보를 포함하고 있는 홍수위험지도의 작성이 필요하다. 실제로 고정밀도 홍수위험지도를 작성하기 위해서는 지형, 지질, 기상 등의 디지털 정보 및 사회 경제와 관련된 다양한 DB를 필요로 하며, 강우-유출-범람해석 모델링을 통해 범람면적 및 침수깊이 등의 정보를 획득하게 된다. 하지만 일부지역, 특히 개발도상국에서는 이러한 계측 홍수 데이터가 부족하거나 획득할 수가 없어 홍수위험지도 제작이 불가능하거나 그 정확도가 매우 낮은 실정이다. 따라서 본 연구에서는 ASTER 또는 SRTM과 같은 범용 DEM 등 지형자료만을 기반으로 한 선형이진분류법(Liner binary classifiers)과 ROC분석(Receiver Operation Characteristics)을 이용하여 미계측 유역 (DB부재 또는 부족으로 강우-유출-범람해석 모델링이 불가능한 북한지역)의 홍수위험지역을 탐지하고, 적용성을 평가하고자 한다. 5개의 단일 지형학적 지수와 6개의 복합 지형학적 지수를 이용하여 Area Under the Curve (AUC)를 계산하고, Sensitivity (민감도)와 Specificity (특이도)가 가장 높은 지수를 선별하여 홍수위험지도를 작성하고, 실제 홍수범람 영상(2007년 북한 함경남도지역 용흥강 홍수)과 비교 분석하였다. 본 연구에서 제시하는 선형이진분류법과 ROC분석 방법은 홍수범람해석을 위한 다양한 기초정보를 필요로 하지 않고, 지형정보만을 사용하기 때문에 관측 데이터가 없거나 부족한 지역에 대해서 우선적으로 홍수위험지역을 탐지하고, 선별하는데 유용할 것으로 판단된다.

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A Study of Effect on the Smoking Status using Multilevel Logistic Model (다수준 로지스틱 모형을 이용한 흡연 여부에 미치는 영향 분석)

  • Lee, Ji Hye;Heo, Tae-Young
    • The Korean Journal of Applied Statistics
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    • v.27 no.1
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    • pp.89-102
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    • 2014
  • In this study, we analyze the effect on the smoking status in the Seoul Metropolitan area using a multilevel logistic model with Community Health Survey data from the Korea Centers for Disease Control and Prevention. Intraclass correlation coefficient (ICC), profiling analysis and two types of predicted value were used to determine the appropriate multilevel analysis level. Sensitivity, specificity, percentage of correctly classified observations (PCC) and ROC curve evaluated model performance. We showed the applicability for multilevel analysis allowed for the possibility that different factors contribute to within group and between group variability using survey data.

The Optimal Cut Off Score According to Self-Rated Health in Early Adulthood (초기 성인기 주관적 건강상태에 따른 절단 값 제시)

  • Kim, Yun-Young;Jang, Eun-Su
    • The Korean Journal of Health Service Management
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    • v.11 no.2
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    • pp.105-115
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    • 2017
  • Objectives : The aim of this study was to suggest the optimal cut off for best, very good, good, slightly bad, and bad grades. Methods : The subjects were recruited from 4 areas of South Korea and 487 questionnaires were analyzed. The nominal and continuous self-rated health questions were used to reveal the optimal cut off and the Short Form-12 Health Survey questionnaire (SF-12) was additionally used. Frequency, Pearson's correlation coefficient, and ROC-curve analysis were used; the significance level was <.05. Results : Subjects assigned 15(3.1%), 90(18.5%), 237(48.7%), 130(26.7%), and 15(3.1%) to best, very good, good, slightly bad and bad groups respectively. The self-rated health score was associated with total Component (r=.563, p<.001), Physical Component (r=.520, p<.001) and Mental Component of SF-12 (r=.303, p<.001). The optimal cut off was 80.5, 70.5, 53.5, and 40.5 for best, very good or more, good or more, and under slightly bad respectively and area under curve was 0.898, 0.908, 0.945, and 0.908 accordingly. Conclusions : This study suggests that the self-rated health score and grade could be integrated with the optimal cut off.

Comparison of the Characteristics according to Injury Severity Score between Elderly and Non-elderly with Trauma (노인과 비노인 외상환자의 손상중증도에 따른 특성 비교)

  • Kim, Hyunju;Kim, Younkyoung
    • Journal of Korean Public Health Nursing
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    • v.32 no.2
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    • pp.304-318
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    • 2018
  • Purpose: This study examined the characteristic of the Injury Severity Score (ISS) of Korean geriatric patients with a traumatic injury in a nationally representative sample to determine the optimal cutoff of ISS of mortality according to age. Methods: The subjects were 3,018 non-elderly patients and 1,584 elderly patients with an ISS and Korean Triage and Acuity Scale (KTAS) in 2016 from the data of the Health Insurance Review and Assessment Service. The traumatic characteristics of the elderly and non-elderly were compared by stratifying the ISS. Receiver Operating Characteristic (ROC) curve analysis was used to find the optimal cutoff of ISS of mortality according to age. Results: The elderly were more prone to severe trauma than the non-elderly were. The distribution of KTAS grades was lower, even though the severity of ISS was as high as that of the non-elderly. The optimal cutoff score of the ISS for mortality in the ROC curve was lower in elderly over 65 years than in the other age group. Conclusion: The elderly are more prone to severe trauma and death than non-elderly, even though their ISS is low. Therefore, a strategy to prevent elderly from experiencing serious trauma and managing their geriatric trauma actively is needed.

Development of a Gambling Addictive Behavior Scale for Adolescents in Korea

  • Park, Hyun Sook;Jung, Sun Young
    • Journal of Korean Academy of Nursing
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    • v.42 no.7
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    • pp.957-964
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    • 2012
  • Purpose: This study was conducted to develop a gambling addictive behavior scale for adolescents. Methods: The process involved construction of a conceptual framework, initial item search, verification of content validity, selection of secondary items, and extraction of final items. The participants were 299 adolescents from two middle schools and four high schools. Item analysis, factor analysis, criterion validity, internal consistency, and ROC curve were used to analyze the data. Results: For the final scale, 25 items were selected, and categorized into 4 factors which accounted for 54.9% of the total variance. The factors were labeled as loss of control, life dysfunction from gambling addiction, gambling experience, and social dysfunction from problem gambling. The scores for the scale were significantly correlated with addictive personality, irrational gambling belief, and adolescent's gambling addictive behavior. Cronbach's alpha coefficient for the 25 items was .94. Scale scores identified adolescents as being in a problem gambling group, a non-problem gambling group, and a non-gambling group by the ROC curve. Conclusion: The above findings indicate that the gambling addictive behavior scale has good validity and reliability and can be used with adolescents in Korea.

Usefulness of Estimated Height Loss for Detection of Osteoporosis in Women

  • Yeoum, Soon-Gyo;Lee, Jong-Hwa
    • Journal of Korean Academy of Nursing
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    • v.41 no.6
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    • pp.758-767
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    • 2011
  • Purpose: This study was done to examine the threshold value of estimated height loss at which the risk of osteoporosis increases and to verify its discriminative ability in the detection of osteoporosis. Methods: It was conducted based on epidemiological descriptive methods on 732 Korean women at a public healthcare center in Seoul between July and November 2010. ANOVA, Pearson correlation, logistic regression analysis and receiver operating characteristics (ROC) curve were used for data analysis. Results: There was an age-related correlation between bone mineral density (lumbar spine: F=37.88, p<.001; femur: F=54.27, p<.001) and estimated height loss (F=27.68, p<.001). Estimated height loss increased significantly with decreasing bone mineral density (lumbar spine: r=-.23, p<.001; femur: r=-.34, p<.001). The odds ratio for the point at which the estimated height loss affects the occurrence of osteoporosis was found to increase at a cut-off value of 2 cm and the area under ROC curve was .71 and .82 in lumbar spine and femur, respectively. Conclusion: The optimal cut-off value of the estimated height loss for detection of osteoporosis was 2 cm. Height loss is therefore a useful indicator for the self-assessment and prognosis of osteoporosis.