• Smart Structures and Systems
• /
• v.29 no.1
• /
• pp.221-235
• /
• 2022

Manual inspection of steel box girders on long span bridges is time-consuming and labor-intensive. The quality of inspection relies on the subjective judgements of the inspectors. This study proposes an automated approach to detect and segment cracks in high-resolution images. An end-to-end cascaded framework is proposed to first detect the existence of cracks using a deep convolutional neural network (CNN) and then segment the crack using a modified U-Net encoder-decoder architecture. A Naïve Bayes data fusion scheme is proposed to reduce the false positives and false negatives effectively. To generate the binary crack mask, first, the original images are divided into 448 × 448 overlapping image patches where these image patches are classified as cracks versus non-cracks using a deep CNN. Next, a modified U-Net is trained from scratch using only the crack patches for segmentation. A customized loss function that consists of binary cross entropy loss and the Dice loss is introduced to enhance the segmentation performance. Additionally, a Naïve Bayes fusion strategy is employed to integrate the crack score maps from different overlapping crack patches and to decide whether a pixel is crack or not. Comprehensive experiments have demonstrated that the proposed approach achieves an 81.71% mean intersection over union (mIoU) score across 5 different training/test splits, which is 7.29% higher than the baseline reference implemented with the original U-Net.

• Journal of Korean Neurosurgical Society
• /
• v.58 no.1
• /
• pp.65-71
• /
• 2015

Objective : Lumbar spinal stenosis is conventionally treated with surgical decompression. However, bilateral decompression and laminectomy is more invasive and may not be necessary for lumbar stenosis patients with unilateral radiculopathy. We aimed to report the outcomes of unilateral laminectomy and bilateral pedicle screw fixation with fusion for patients with lumbar spinal stenosis and unilateral radiculopathy. Methods : Patients with lumbar spinal stenosis with unilateral lower extremity radiculopathy who received limited unilateral decompression and bilateral pedicle screw fixation were included and evaluated using visual analog scale (VAS) pain and the Oswestry Disability Index (ODI) scores preoperatively and at follow-up visits. Ligamentum flavum thickness of the involved segments was measured on axial magnetic resonance images. Results : Twenty-five patients were included. The mean preoperative VAS score was $6.6{\pm}1.6$ and $4.6{\pm}3.1$ for leg and back pain, respectively. Ligamentum flavum thickness was comparable between the symptomatic and asymptomatic side (p=0.554). The mean follow-up duration was 29.2 months. The pain in the symptomatic side lower extremity (VAS score, $1.32{\pm}1.2$) and the back (VAS score, $1.75{\pm}1.73$) significantly improved (p=0.000 vs. baseline for both). The ODI improved significantly postoperatively ($6.60{\pm}6.5$; p=0.000 vs. baseline). Significant improvement in VAS pain and ODI scores were observed in patients receiving single or multi-segment decompression fusion with fixation (p<0.01). Conclusion : Limited laminectomy and unilateral spinal decompression followed by bilateral pedicle screw fixation with fusion achieves satisfactory outcomes in patients with spinal stenosis and unilateral radiculopathy. This procedure is less damaging to structures that are important for maintaining posterior stability of the spine.

• Journal of Korean Neurosurgical Society
• /
• v.59 no.6
• /
• pp.615-621
• /
• 2016

Objectives : To review surgical results of post-fusion lumbar flatback treated with pedicle subtraction osteotomy (PSO) or Smith-Petersen osteotomies (SPOs). Methods : Twenty-eight patients underwent osteotomies. Radiological outcomes by sagittal vertical axis (SVA), and pelvic tilt (PT), T1 pelvic angle (T1PA), and pelvic incidence (PI)-lumbar lordosis (LL) at preoperative, postoperative 1 month, and final were evaluated. Oswestry Disability Index (ODI), visual analog scale (VAS) score of back pain/leg pain, and Scoliosis Research Society-22 score (SRS-22r) were analyzed and compared. Patients were divided into 2 groups (SVA ${\leq}5cm$ : normal, SVA >5 cm : positive) at final and compared outcomes. Results : Nineteen patients (68%) had PSO and the other 9 patients had SPOs with anterior lumbar interbody fusions (ALIFs) (Mean age : 65 years, follow-up : 31 months). The PT, PI-LL, SVA, T1PA were significantly improved at 1 month and at final (p<0.01). VAS score, ODI, and SRS-22r were also significantly improved at the final (p<0.01). 23 patients were restored with normal SVA and the rest 5 patients demonstrated to positive SVA. SVA and T1PA at 1 month and SVA, PI-LL, and T1PA at final were significantly different (p<0.05) while the ODI, VAS, and SRS-22r did not differ significantly between the groups (p>0.05). Common reoperations were early 4 proximal junctional failures (14%) and late four rod fractures. Conclusion : Our results demonstrate that PSO and SPOs with ALIFs at the lower lumbar are significantly improves sagittal balance. For maintenance of normal SVA, PI-LL might be made negative value and T1PA might be less than $11^{\circ}$ even though positive SVA group was also significantly improved clinical outcomes.

• Neurospine
• /
• v.15 no.4
• /
• pp.368-375
• /
• 2018

Objective: To evaluate the results of operative management of subaxial spine injuries managed with 2-level anterior cervical corpectomy and fusion with a cervical locking plate and autologous bone-filled titanium mesh cage. Methods: This study included 23 patients with a subaxial spine injury who matched the inclusion criteria, underwent 2-level anterior cervical corpectomy and fusion at our institution between 2013 and 2016, and were followed up for neurological recovery, axial pain, fusion, pseudarthrosis, and implant failure. Results: According to Allen and Ferguson classification, there were 9 cases of distractive extension; 4 of compressive extension; 3 each of compressive flexion, vertical compression, and distractive flexion; and 1 of lateral flexion. Sixteen patients had a score of 6 on the Subaxial Injury Classification system, and the rest had a score of more than 6. The mean follow-up period was 19 months (range, 12-48 months). Neurological recovery was observed in most of the patients (78.21%). All patients experienced relief of axial pain. None of the patients received a blood transfusion. Twenty-one patients (91.3%) showed solid fusion and 2 (8.69%) showed possible pseudarthrosis, with no complications related to the cage or plate. Conclusion: Two-level anterior cervical corpectomy and fusion, along with stabilization with a cervical locking plate and autologous bone graft-filled titanium mesh cage, can be considered a feasible and safe method for treating specific subaxial spine injuries, with the benefits of high primary stability, anatomical reduction, and direct decompression of the spinal cord.

• Journal of Korean Neurosurgical Society
• /
• v.64 no.4
• /
• pp.552-561
• /
• 2021

Objective : To compare the anterior cervical discectomy and fusion (ACDF) and posterior cervical fusion (PCF) with wide facetectomy in the treatment of parallel-shaped bony foraminal stenosis (FS). Methods : Thirty-six patients underwent surgery due to one-or-two levels of parallel-shaped cervical FS. ACDF was performed in 16 patients, and PCF using CPS was performed in 20 patients. All patients were followed up at 1, 3, 6, and 12 months postoperatively. Standardized outcome measures such as Numeric rating scale (NRS) score for arm/neck pain and Neck disability index (NDI) were evaluated. Cervical radiographs were used to compare the C2-7 Cobb's angle, segmental angle, and fusion rates. Results : There was an improvement in NRS scores after both approaches for radicular arm pain (mean change -6.78 vs. -8.14, p=0.012), neck pain (mean change -1.67 vs. -4.36, p=0.038), and NDI score (-19.69 vs. -18.15, p=0.794). The segmental angle improvement was greater in the ACDF group than in the posterior group (9.4°±2.7° vs. 3.3°±5.1°, p=0.004). However, there was no significant difference in C2-7 Cobb angle between groups (16.2°±7.9° vs. 14.8°±8.5°, p=0.142). As a complication, dysphagia was observed in one case of the ACDF group. Conclusion : In the treatment of parallel-shaped bony FS up to two surgical levels, segmental angle improvement was more favorable in patients who underwent ACDF. However, PCF with wide facetectomy using CPS should be considered as an alternative treatment option in cases where the anterior approach is burdensome.

• Proceedings of the Korea Information Processing Society Conference
• /
• 2023.11a
• /
• pp.1213-1214
• /
• 2023

현재 국내외 CCTV 구축량 증가로 사생활 침해와 높은 설치 비용등이 문제점으로 제기되고 있다. 따라서 본 연구는 Early Fusion을 적용한 위급상황 음향 분류 모델을 제안한다. 음향 데이터에 STFT(Short Time Fourier Transform), Spectrogram, Mel-Spectrogram을 적용해 특징 벡터를 추출하고 3차원으로 Early Fusion하여 ResNet, DenseNet, EfficientNetV2으로 학습한다. 실험 결과 Early Fusion 방법이 가장 좋은 결과를 보였고 DenseNet, EfficientNetV2가 Accuracy, F1-Score 모두 0.972의 성능을 보였다.

• Journal of Korean Neurosurgical Society
• /
• v.64 no.5
• /
• pp.776-783
• /
• 2021

Objective : The purpose of this study was to identify risk factors for distal adding on (AO) or distal junctional kyphosis (DJK) in adolescent idiopathic scoliosis (AIS) treated by posterior spinal fusion (PSF) to L3 with a minimum 2-year follow-up. Methods : AIS patients undergoing PSF to L3 by two senior surgeons from 2000-2010 were analyzed. Distal AO and DJK were deemed poor radiographic results and defined as >3 cm of deviation from L3 to the center sacral vertical line (CSVL), or >10° angle at L3-4 on the posterior anterior- or lateral X-ray at ultimate follow-up. New stable vertebra (SV) and neutral vertebra (NV) scores were defined for this study. The total stability (TS) score was the sum of the SV and NV scores. Results : Ten of 76 patients (13.1%) were included in the poor radiographic outcome group. The other 66 patients were included in the good radiographic outcome group. Lower Risser grade, more SV-3 (CSVL doesn't touch the lowest instrumented vertebra [LIV]) on standing and side bending films, lesser NV and TS score, rigid L3-4 disc, more rotation and deviation of L3 were identified risk factors for AO or DJK. Age, number of fused vertebrae, curve correction, preoperative coronal/sagittal L3-4 disc angle did not differ significantly between the two groups. Multiple logistic regression results indicated that preoperative Risser grade 0, 1 (odds ratio [OR], 1.8), SV-3 at L3 in standing and side benders (OR, 2.1 and 2.8, respectively), TS score -5, -6 at L3 (OR, 4.4), rigid disc at L3-4 (OR, 3.1), LIV rotation >15° (OR, 2.9), and LIV deviation >2 cm from CSVL (OR, 2.2) were independent predictive factors. Although there was significant improvement of the of Scoliosis Research Society-22 average scores only in the good radiographic outcome group, there was no significant difference in the scores between the groups. Conclusion : The prevalence of AO or DJK at ultimate follow-up for AIS with LIV at L3 was 13.1%. To prevent AO or DJK following fusion to L3, we recommend that the CSVL touch L3 in both standing and side bending, TS score is -4 or less, the L3/4 disc is flexible, L3 is neutral (<15°) and ≤2 cm from the midline and the patient is ≥ Risser 2.

• Proceedings of the Korea Information Processing Society Conference
• /
• 2017.04a
• /
• pp.312-314
• /
• 2017

생체정보를 이용한 사용자 인증은 차세대 인증 방법으로서 기존의 인증 시스템에서 급진적으로 사용되고 있는 인증 방법이다. 현재 대부분의 생체인증 시스템은 단일 생체정보를 이용하고 있는데, 단일 생체인증 시스템은 노이즈로 인한 문제, 데이터의 질에 대한 문제, 인식률의 한계 등 많은 문제점들을 가지고 있다. 이를 해결하기 위한 방법으로 다중 생체정보를 이용하는 사용자 인증 방법이 있다. 다중 생체인증 시스템은 각각의 정보에 대한 information fusion을 적용하여 새로운 정보를 생성한 뒤, 그 정보를 기반으로 사용자를 인증한다. information fusion 방법들 중에서도 Rank-level fusion 방법은 표준화 작업이 필요하고 높은 계산 복잡도를 갖는 Score-level fusion방법의 대안으로 선택되고 있다. 따라서 본 논문에서는 기존 방법보다 정확도가 높게 향상된 Rank-level fusion 방법을 제안한다. 또한, 본 논문에서 제안하는 방법은 낮은 정확도를 갖는 matcher를 사용하더라도 정확도를 향상시킬 수 있음을 실험을 통해 보이고자 한다.

• Journal of the Institute of Electronics Engineers of Korea CI
• /
• v.45 no.5
• /
• pp.192-200
• /
• 2008

Multimodal biometrics is a method for personal authentication and verification using more than two types of biometrics data. RBF based score-level fusion uses pattern recognition algorithm for multimodal biometrics, seeking the optimal decision boundary to classify score feature vectors each of which consists of matching scores obtained from several unimodal biometrics system for each sample. In this case, all matching scores are assumed to have the same reliability. However, in recent research it is reported that the quality of input sample affects the result of biometrics. Currently the matching scores having low reliability caused by low quality of samples are not currently considered for pattern recognition modelling in multimodal biometrics. To solve this problem, in this paper, we proposed the RBF based score-level fusion approach which employs quality information of input biometrics data to adjust decision boundary. As a result the proposed method with Qualify information showed better recognition performance than both the unimodal biometrics and the usual RBF based score-level fusion without using quality information.

• Journal of Korean Neurosurgical Society
• /
• v.30 no.5
• /
• pp.605-610
• /
• 2001

Objective : The authors investigated the efficacy of the calcium sulfate(OsteoSet$^{(R)}$ pellets) as an autograft extender when used to perform posterolateral lumbar fusions. Patients and Methods : Twenty patients who underwent lumbar posterolateral arthrodesis for various spinal diseases between October 1999 and March 2000 were evaluated. Arthrodesis was performed by transpedicular screw fixation and bone grafting with a mixture of autograft + calcium sulfate in a 1 : 1 ratio. At time intervals of 1, 2, 3, and 6 months, postoperative radiographs were obtained to review the resorption of calcium sulfate and the evidence of fusion. A modified Lenke scale was used to assess the status of the fusion. Results : At 2 months after operation, the average modified Lenke scale score for the OsteoSet$^{(R)}$ pellets group was 3.8. However at 6 months after operation, the average modified Lenke scale score for the OsteoSet$^{(R)}$ pellets group was 1.8. Resorption of calcium sulfate pellets was revealed in all cases at 6 months after surgery. Conclusion : It is presumed that a combination of calcium sulfate and autograft can play a role as an effective autograft extender in the posterolateral spinal fusion.