• 제목/요약/키워드: Score Fusion

검색결과 167건 처리시간 0.021초

Clinical and Radiological Outcomes of Unilateral Facetectomy and Interbody Fusion Using Expandable Cages for Lumbosacral Foraminal Stenosis

  • Park, Jin-Hoon;Bae, Chae-Wan;Jeon, Sang-Ryong;Rhim, Seung-Chul;Kim, Chang-Jin;Roh, Sung-Woo
    • Journal of Korean Neurosurgical Society
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    • 제48권6호
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    • pp.496-500
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    • 2010
  • Objective : Surgical treatment of lumbosacral foraminal stenosis requires an understanding of the anatomy of the lumbosacral area in individual patients. Unilateral facetectomy has been used to completely decompress entrapment of the L5 nerve root, followed in some patients by posterior lumbar interbody fusion (PLIF) with stand-alone cages Methods : We assessed 34 patients with lumbosacral foraminal stenosis who were treated with unilateral facetectomy and PLIF using stand-alone cages in our center from January 2004 to September 2007. All the patients underwent follow-up X-rays, including a dynamic view, at 3, 6, 12, 24 months, and computed tomography (CT) at 24 months postoperatively. Clinical outcomes were analyzed with the mean numeric rating scale (NRS), Oswestry Disability Index (ODI) and Odom's criteria. Radiological outcomes were assessed with change of disc height, defined as the average of anterior, middle, and posterior height in plain X-rays. In addition, lumbosacral fusion was also assessed with dynamic X-ray and CT. Results : Mean NRS score, which was 9.29 prior to surgery, was 1.5 at 18 months after surgery. The decrease in NRS was statistically significant. Excellent and good groups with regard to Odom's criteria were 31 cases (91%) and three cases (9%) were fair. Pre-operative mean ODI of 28.4 decreased to 14.2 at post-operative 24 months. In 30 patients, a bone bridge on CT scan was identified. The change in disc height was 8.11 mm, 10.02 mm and 9.63 mm preoperatively, immediate postoperatively and at 24 months after surgery, respectively. Conclusion : In the treatment of lumbosacral foraminal stenosis, unilateral facetectomy and interbody fusion using expandable stand-alone cages may be considered as one treatment option to maintain post-operative alignment and to obtain satisfactory clinical outcomes.

Change in the Alignment and Distal Junctional Kyphosis Development after Posterior Cervical Spinal Fusion Surgery for Cervical Spondylotic Myelopathy - Risk Factor Analysis

  • Lee, Jung Jae;Park, Jin Hoon;Oh, Young Gyu;Shin, Hong Kyung;Park, Byong Gon
    • Journal of Korean Neurosurgical Society
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    • 제65권4호
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    • pp.549-557
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    • 2022
  • Objective : This study analyzed the risk factors in patients who developed distal junctional kyphosis (DJK) after posterior cervical fusion. Methods : We retrospectively analyzed the clinical and radiographic outcomes of 64 patients, aged ≥18 years (51 and 13 male and female patients, respectively), who underwent single-staged multilevel (3-6 levels) posterior cervical fusion surgery due to multiple cervical spondylotic myelopathy. The surgeries were performed by a single spinal surgeon between January 2012 and December 2017. Demographic data, clinical outcomes, and radiological results were collected. We divided the patients into a DJK group and a non-DJK group according to the presence of DJK and investigated the risk factors by comparing the differences between the two groups. Results : Of the 64 patients, 13 developed DJK. No significant differences in clinical results were observed between the two groups before and immediately after the surgery. At the final follow-up, a higher visual analog score for neck pain was observed in the DJK group compared to the non-DJK group (p<0.01). The DJK group had a significantly lower T1 slope and a significantly higher C2-7 sagittal vertical axis (SVA) before surgery compared to the non-DJK group (p=0.03 and p<0.01, respectively). Immediately after surgery, the difference between the two groups decreased and no significant difference was observed. However, at the last follow-up, a significantly higher C2-7 SVA was observed in the DJK group (p<0.01). At the last follow up, there is no discrepancy in T1S-CL. In multiple logistic regression analysis, preoperative higher C2-7 SVA and preoperative lower T1 slope were identified as independent risk factors (p=0.03 and p<0.01, respectively). As a result, it was confirmed that DJK occurred along the process of returning to preoperative values. Conclusion : DJK can be considered to be caused by cervical misalignment due to excessive change in the surgical site in patients with low T1 slope and high C2-7 SVA before surgery. This also affects the clinical outcome after surgery. It is recommended to refrain from excessive segmental lordosis changes during multilevel cervical post fusion surgery, especially in patients with a small preoperative T1 slope and a large SVA value.

Fuzzy-EBGM을 이용한 얼굴인식과 Fuzzy-LDA를 이용한 홍채인식의 다중생체인식 기법 연구 (Multi-Modal Biometrics Recognition Method of Face Recognition using Fuzzy-EBGM and Iris Recognition using Fuzzy LDA)

  • 고현주;권만준;전명근
    • 한국지능시스템학회:학술대회논문집
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    • 한국퍼지및지능시스템학회 2005년도 추계학술대회 학술발표 논문집 제15권 제2호
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    • pp.299-301
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    • 2005
  • 본 연구는 생체정보를 이용하여 개인을 인증하고 확인하기 위한 방법으로 기존 단일 생체인식 기법의 단점을 보완하기 위해 홍채와 얼굴을 이용한 다중생체인식(Multi-Modal Biometrics Recognition)기법을 연구하였다. 중국 홍채 데이터베이스 CASIA(Chinese Academy of Science)에 Gabor Wavelet과 FLDA(Fuzzy Linear Discriminant Analysis)를 사용하여 특징벡터를 획득하였으며, FERET(FERET(Face Recognition Technology) 얼굴영상데이터를 사용하여 FERET 연구에서 매우 우수한 성능을 보인 EBGM알고리듬으로 특징벡터를 획득하였다. 이로부터 얻어진 두 score 값에 대하여 다양한 균등화 과정을 시도해 보았으며, 등록자와 침입자를 구분하기 위한 Fusion Algorithm으로 Bayesian Classifier, Support vector machine, Fisher's linear discriminant를 사용하였다. 또한, 널리 사용되는 방법 중 Weighted Summation을 이용하여 다중생체인식의 성능을 비교해 보았다.

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Multi-modal Authentication Using Score Fusion of ECG and Fingerprints

  • Kwon, Young-Bin;Kim, Jason
    • Journal of information and communication convergence engineering
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    • 제18권2호
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    • pp.132-146
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    • 2020
  • Biometric technologies have become widely available in many different fields. However, biometric technologies using existing physical features such as fingerprints, facial features, irises, and veins must consider forgery and alterations targeting them through fraudulent physical characteristics such as fake fingerprints. Thus, a trend toward next-generation biometric technologies using behavioral biometrics of a living person, such as bio-signals and walking characteristics, has emerged. Accordingly, in this study, we developed a bio-signal authentication algorithm using electrocardiogram (ECG) signals, which are the most uniquely identifiable form of bio-signal available. When using ECG signals with our system, the personal identification and authentication accuracy are approximately 90% during a state of rest. When using fingerprints alone, the equal error rate (EER) is 0.243%; however, when fusing the scores of both the ECG signal and fingerprints, the EER decreases to 0.113% on average. In addition, as a function of detecting a presentation attack on a mobile phone, a method for rejecting a transaction when a fake fingerprint is applied was successfully implemented.

우리나라의 새로운 전파법 체계개편에 관한 연구 (A study on new radio wave law of system reorganization for korea)

  • 윤형득;신현식
    • 한국전자통신학회논문지
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    • 제4권1호
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    • pp.1-6
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    • 2009
  • 이 논문은 오늘날 정보통신 기술의 발전으로 새로운 방송 통신 융합서비스의 등장이 본격화됨에 따라 그동안 분리되어 규제된 방송과 통신에 대한 법제도의 변화가 일어나고 있다. 이러한 환경변화에 따른 전파법의 변천사에 대하여 연구하고자 한다.

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다중 스테레오를 위한 DEM 융합기법 (OEM Fusion Technique for Multi-Image stereo)

  • 김민석;우동민
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2000년도 하계학술대회 논문집 D
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    • pp.3047-3049
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    • 2000
  • The ability to efficiently and robustly recover accurate 3D terrain models from sets of stereoscopic images is important to many civilian and military applications. To develop an effective and practical terrain modeling system. We propose the methods which detect unreliable elevations in digital elevation maps (DEMs). and fuse several DEMs from multiple sources into an accurate and reliable result. This paper focuses on two key factors for generating robust 3D terrain models. the ability to detect unreliable elevation estimates. and to fuse the reliable elevations into a single optimal terrain model. We apply the correlation score methodology to reconstruct accurate DEM for multi-image and show the method is more effective than the conventional averaging method. The photo-realistic simulator is used for generating four simulated images from ground truth DEM and orthoimage.

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스마트 기기 기반의 로봇 프로그래밍 교육 이후 초등 영재들의 수준에 따른 IT 융합 학습에 대한 인식 차이 분석 (An Analysis of the Difference of Perception on IT Convergence Learning after the Smart Device based Robot Programming Education According to Elementary Gifted Students' Level)

  • 윤일규;장윤재;정순영;이원규
    • 한국컴퓨터정보학회논문지
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    • 제20권5호
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    • pp.161-169
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    • 2015
  • 본 논문에서는 초등 영재들의 IT 융합 학습을 위한 스마트 기기 기반의 로봇 프로그래밍 교육 프로그램을 제안하고, 스마트 기기 기반의 로봇 프로그래밍 교육 이후 초등 영재 수준에 따른 IT 융합 학습에 대한 만족도와 기대-가치 인식 차이를 분석하였다. 초등 영재들의 IT 융합 학습을 위한 스마트 기기 기반의 로봇 프로그래밍 교육 프로그램은 WTEC에서 제안한 인간 융합 과정을 기초로 설계하였으며, 초등 영재들이 실질적인 IT 융합 과정을 경험할 수 있도록 하기 위해서 창의성 단계, 통합 단계, 혁신 단계, 산출 단계로 구성하였다. 본 연구를 통해서 개발된 스마트 기기 기반의 로봇 프로그래밍 교육 프로그램은 초등 영재 126명을 대상으로 적용하였으며 그 결과를 분석하였다. 스마트 기기 기반의 로봇 프로그래밍 교육에 대한 만족도를 분석한 결과, 초등 심화 집단과 초등 기초 집단 모두 높은 수업 만족도를 보이는 것으로 나타났으나, 초등 심화 집단의 수업 만족도가 상대적으로 높은 것으로 나타났다. 또한, 초등 심화 집단이 초등 기초 집단에 비해 IT 융합 학습에 대한 기대-가치 인식이 높은 것으로 나타났다. 본 논문의 2장에서는 IT 융합 학습과 로봇 활용 교육을 분석한 관련 연구를 제시하였으며, 3장에서는 실제 스마트기기 기반의 로봇 프로그래밍 교육 프로그램 설계 및 연구 과정을 기술하였고, 4장에서는 실험 수업 결과를 분석한 연구결과를 제시하였다.

Bone Cement-Augmented Short Segment Fixation with Percutaneous Screws for Thoracolumbar Burst Fractures Accompanied by Severe Osteoporosis

  • Jung, Hyun Jin;Kim, Seok Won;Ju, Chang Il;Kim, Sung Hoon;Kim, Hyen Sung
    • Journal of Korean Neurosurgical Society
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    • 제52권4호
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    • pp.353-358
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    • 2012
  • Objective : The purpose of this study was to determine the efficacy of bone cement-augmented short segment fixation using percutaneous screws for thoracolumbar burst fractures in a background of severe osteoporosis. Methods : Sixteen patients with a single-level thoracolumbar burst fracture (T11-L2) accompanying severe osteoporosis treated from January 2008 to November 2009 were prospectively analyzed. Surgical procedures included postural reduction for 3 days and bone cement augmented percutaneous screw fixation at the fracture level and at adjacent levels without bone fusion. Due to the possibility of implant failure, patients underwent implant removal 12 months after screw fixation. Imaging and clinical findings, including involved vertebral levels, local kyphosis, canal encroachment, and complications were analyzed. Results : Prior to surgery, mean pain score (visual analogue scale) was 8.2 and this decreased to a mean of 2.2 at 12 months after screw fixation. None of the patients complained of pain worsening during the 6 months following implant removal. The percentage of canal compromise at the fractured level improved from a mean of 41.0% to 18.4% at 12 months after surgery. Mean kyphotic angle was improved significantly from $19.8^{\circ}$ before surgery to 7.8 at 12 months after screw fixation. Canal compromise and kyphotic angle improvements were maintained at 6 months after implant removal. No significant neurological deterioration or complications occurred after screw removal in any patient. Conclusion : Bone cement augmented short segment fixation using a percutaneous system can be an alternative to the traditional open technique for the management of selected thoracolumbar burst fractures accompanied by severe osteoporosis.

Autogenous Bone Grafts versue Metal Cage with Allogenic Bone Grafts for Post-Corpectomy Anterior Column Reconstruction in Patients with Infectious Spondylitis

  • Cha, Jae-Ryong;Hwang, Il-Yeong;Kwon, Sun-Hwan;Chung, Hee-Yoon
    • Journal of Korean Neurosurgical Society
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    • 제63권2호
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    • pp.218-227
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    • 2020
  • Objective : To evaluate and compare the clinical and radiographic features of 25 patients with infectious spondylitis treated with anterior debridement and reconstruction using autogenous bone grafts vs. a metal cage with allogenic bone grafts. Methods : The study analyzed 25 patients diagnosed with infectious thoracolumbar spondylitis who underwent anterior radical debridement and reconstruction. Autogenous bone grafts were used in 13 patients (group 1), and a metal cage with allogenic bone grafts was used in 12 patients (group 2). Clinical outcomes were assessed by the visual analogue scale (VAS) scores and neurological status. Additionally, the serological results and the radiographic results using the sagittal Cobb angle were compared. Fusion was evaluated by computed tomography (CT) imaging at 24 months postoperatively. Results : Both groups showed a significant decrease in the postoperative mean VAS scores; however, only, group 1 patients showed a significantly higher VAS score than group 2 patients, 1 month postoperatively (p=0.002). The postoperative neurological status significantly improved. Elevated C-reactive protein levels and erythrocyte sedimentation rate values returned to normal limits at the 2-year follow-up without recurrent infection. No significant intergroup difference was observed in Cobb angle. Bony fusion was confirmed in all patients at CT 24 months postoperatively. Conclusion : Although the use of a metal cage with allogenic bone grafts for anterior column reconstruction remains controversial, our results suggest that it can be considered as an effective treatment of option for anterior column reconstruction in patients with infectious spondylitis.

The Comparative Analysis of Clinical Characteristics and Surgical Results between the Upper and Lower Lumbar Disc Herniations

  • Lee, Do-Sung;Park, Ki-Seok;Park, Moon-Sun
    • Journal of Korean Neurosurgical Society
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    • 제54권5호
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    • pp.379-383
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    • 2013
  • Objective : There are differences in the clinical characteristics and surgical results between upper (L1-2 and L2-3) and lower (L3-4, L4-5, and L5-S1) lumbar disc herniations. We conducted this study to compare the clinical features and surgical outcomes between the two types of lumbar disc herniations. Methods : We retrospectively reviewed the clinical features of patients who underwent microdiscectomies from 2008 to 2012. We evaluated the clinical characteristics such as age, preoperative autonomic dysfunction, the presence or absence of previous lumbar surgery and fusion required during surgery. Visual Analogue Scale (VAS) scores about back pain and leg pain were evaluated preoperatively and at the final follow-up. Results : Upper lumbar group (n=15) was significantly older than lower lumbar group (n=148). The incidence of autonomic dysfunction was significantly higher in upper lumbar group. The number of patients with a previous lumbar surgery was significantly greater in upper lumbar group. There was no statistical significance for fusion required during surgery between two groups. Both groups showed a significant decrease in the VAS scores of leg pain. VAS scores of back pain were significantly decreased in lower lumbar group. But this was not seen in upper lumbar group. Both groups showed significant improvement of Oswestry Disability Index score. Conclusion : Upper lumbar group had different clinical characteristics from those of lower lumbar group and these include older age, a higher incidence of autonomic dysfunctions and a higher incidence of patients with previous lumbar surgery. There were no significant differences in surgical outcomes, except for back pain, between two groups.