• 제목/요약/키워드: diagnostic assessment tool

검색결과 133건 처리시간 0.027초

New Diagnostic Tool for Far Lateral Lumbar Disc Herniation : The Clinical Usefulness of 3-Tesla Magnetic Resonance Myelography Comparing with the Discography CT

  • Kim, Duk-Gyu;Eun, Jong-Pil;Park, Jung-Soo
    • Journal of Korean Neurosurgical Society
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    • 제52권2호
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    • pp.103-106
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    • 2012
  • Objective : To prospectively assess the diagnostic and clinical value of a new technique (3-tesla magnetic resonance myelography, 3T MRM) as compared to computed tomographic discography (disco-CT) in patients with far lateral disc herniation. Methods : We evaluated 3T MRM and disco-CT of 25 patients, whom we suspected of suffering from far lateral disc herniation. Using an assessment scale, 4 observers examined independently both 3T MRM and disco-CT images. We analyzed observer agreement and the accentuation of each image. Results : We found complete matching, and observer agreement, between high resolution images of 3T MRM and disco-CT for diagnosing far lateral disc herniation. Conclusion : We think noninvasive 3T MRM is an appropriate diagnostic tool for far lateral disc herniation as compared to disco-CT.

경추 부위 동태손상증후군의 진단·평가를 위한 설문 문항 개발 (Development of Diagnostic and Assessable Questionnaires for Cervical Movement System Impairment Syndromes)

  • 박문석;김현호;박영배;박영재
    • 대한한의진단학회지
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    • 제20권1호
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    • pp.1-13
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    • 2016
  • Objectives The aim of this study is to develop diagnostic and assessable questionnaires for cervical movement system impairment syndromes. Methods We reviewed the previous study and literature, and organized various checkable items for differential diagnosis of four different cervical movement system impairment syndromes. Next, we selected items which can be developed as questionnaire items. Finally, we conducted a face validity study with twelve Korean medical doctors and carried out survey research to evaluate the importance score of the items with three experts. Results We developed a diagnostic and assessable questionnaire as follows: 9 items for cervical extension syndrome; 5 items for cervical flexion syndrome; 9 items for cervical rotation syndrome. By conducting 2 rounds of survey research, we were able to bridge the differences in the importance score of each item. Conclusions A questionnaire for the diagnosis and assessment of movement system impairment syndromes was developed. This questionnaire holds promising applications for objective diagnosis and assessment of cervical movement system impairment syndromes. This tool may also be used for detecting the sub-health status of musculoskeletal systems.

Assessment of panoramic radiography as a national oral examination tool: review of the literature

  • Choi, Jin-Woo
    • Imaging Science in Dentistry
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    • 제41권1호
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    • pp.1-6
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    • 2011
  • Purpose : The purpose of this review is to evaluate the possibility of panoramic radiography as a national oral examination tool. Materials and Methods : This report was carried out by review of the literatures. Results : Panoramic radiography has sufficient diagnostic accuracy in dental caries, periodontal diseases, and other lesions. Also, the effective dose of panoramic radiography is lower than traditional full-mouth periapical radiography. Conclusion : Panoramic radiography will improve the efficacy of dental examination in national oral examination. However, more studies are required to evaluate the benefit, financial cost, and operation time and also to make selection criteria and quality management program.

환경영향평가용 대기질 모델을 위한 AWS자료의 4 차원 동화 기법에 관한 고찰 (On the applications of AWS into the Four-Dimensional Data Assimllation Technique for 3 Dimensional Air Quality Model in Use of Atmospheric Environmental Assessment)

  • 김철희
    • 환경영향평가
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    • 제11권2호
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    • pp.109-116
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    • 2002
  • The diagnostic and prognostic methods for generating 3 dimensional wind field were comparatively analyzed and 4 dimensional data assimilation (FDDA) technique by incorporating Automatic Weather System (AWS) into the prognostic methods was discussed for the urban scale air quality model. The A WS covered the urban scale grid distance of 10.6 km and 4.3 km in South Korea and Kyong-in region, respectively. This is representing that AWS for FDDA could be fairly well accommodated in prognostic model with the meso${\gamma}$~ microa scale (~5 km), indicating that the 3 dimensional wind field by FDDA technique could be a useful interpretative tool in urban area for the atmospheric environmental impact assessment.

알쯔하이머병(Alzheimer's disease)에서 FDG PET의 임상이용 (Clinical Application of $^{18}F-FDG$ PET in Alzheimer's Disease)

  • 유영훈
    • Nuclear Medicine and Molecular Imaging
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    • 제42권sup1호
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    • pp.166-171
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    • 2008
  • PET of the cerebral metabolic rate of glucose is increasingly used to support the clinical diagnosis in the examination of patients with suspected major neurodegenerative disorders, such as Alzheimer's disease. $^{18}F-FDG$ PET has been reported to have high diagnostic performance, especially, very high sensitivity in the diagnosis and clinical assessment of therapeutic efficacy. According to clinical research data hitherto, $^{18}F-FDG$ PET is expected to be an effective diagnostic tool in early and differential diagnosis of Alzheimer's disease. Since 2004, Medicare covers $^{18}F-FDG$ PET scans for the differential diagnosis of fronto-temporal dementia (FTD) and Alzheimer's disease (AD) under specific requirements; or, its use in a CMS approved practical clinical trial focused on the utility of $^{18}F-FDG$ PET in the diagnosis or treatment of dementing neurodegenerative diseases.

STEAM 교육의 실행 강화를 위한 학교 STEAM 역량 진단 도구 개발 (Development of STEAM Diagnostic Evaluation Tool to Strengthen the Implementation of STEAM Education)

  • 박현주;심재호;이지애;이영태
    • 과학교육연구지
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    • 제45권3호
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    • pp.349-363
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    • 2021
  • 이 연구의 목적은 학교 STEAM 교육의 실행과 교육환경 기반을 진단하고 평가할 수 있는 학교 STEAM 교육 역량 진단 도구를 개발하는 것이다. 진단 도구의 개발은 STEAM 교육의 평가 또는 성과와 관련된 문헌 조사, 연구진의 반성적 재검토, 전문가 및 현장교사의 타당도 검증 등으로 이루어졌다. 학교 STEAM 교육 역량 진단 도구는 'STEAM 교육의 실천과 지속가능성의 계획', 'STEAM 교육과정 및 교수학습 방법', 'STEAM 학습 전문성 개발', '과정 중심 평가', '고등 교육 기관, 산업 파트너, 기술 센터와 연계 구축' 등 5개 영역과 하위영역의 총 14문항으로 구성된다. 학교 STEAM 역량 진단 도구의 타당화는 전문가의 내용 타당도 검증과 예비조사(pilot study)의 학교 교사의 실제에 의한 타당도를 통해 진행하였다. 개발된 학교 STEAM 역량 진단 도구를 활용하여 초등, 중, 고등학교 267개교를 진단한 결과, 5개 영역 평균이 1.46 ~ 2.18의 수준으로 나타났다. 이 진단 도구는 학교의 STEAM 교육의 실행 및 효과를 포괄적으로 진단·평가하고, 우리나라 STEAM 교육의 실행을 진단하고 이해하는데 기초 자료로 활용될 것으로 기대한다.

Accuracy of Digital Breast Tomosynthesis for Detecting Breast Cancer in the Diagnostic Setting: A Systematic Review and Meta-Analysis

  • Min Jung Ko;Dong A Park;Sung Hyun Kim;Eun Sook Ko;Kyung Hwan Shin;Woosung Lim;Beom Seok Kwak;Jung Min Chang
    • Korean Journal of Radiology
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    • 제22권8호
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    • pp.1240-1252
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    • 2021
  • Objective: To compare the accuracy for detecting breast cancer in the diagnostic setting between the use of digital breast tomosynthesis (DBT), defined as DBT alone or combined DBT and digital mammography (DM), and the use of DM alone through a systematic review and meta-analysis. Materials and Methods: Ovid-MEDLINE, Ovid-Embase, Cochrane Library and five Korean local databases were searched for articles published until March 25, 2020. We selected studies that reported diagnostic accuracy in women who were recalled after screening or symptomatic. Study quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool. A bivariate random effects model was used to estimate pooled sensitivity and specificity. We compared the diagnostic accuracy between DBT and DM alone using meta-regression and subgroup analyses by modality of intervention, country, existence of calcifications, breast density, Breast Imaging Reporting and Data System category threshold, study design, protocol for participant sampling, sample size, reason for diagnostic examination, and number of readers who interpreted the studies. Results: Twenty studies (n = 44513) that compared DBT and DM alone were included. The pooled sensitivity and specificity were 0.90 (95% confidence interval [CI] 0.86-0.93) and 0.90 (95% CI 0.84-0.94), respectively, for DBT, which were higher than 0.76 (95% CI 0.68-0.83) and 0.83 (95% CI 0.73-0.89), respectively, for DM alone (p < 0.001). The area under the summary receiver operating characteristics curve was 0.95 (95% CI 0.93-0.97) for DBT and 0.86 (95% CI 0.82-0.88) for DM alone. The higher sensitivity and specificity of DBT than DM alone were consistently noted in most subgroup and meta-regression analyses. Conclusion: Use of DBT was more accurate than DM alone for the diagnosis of breast cancer. Women with clinical symptoms or abnormal screening findings could be more effectively evaluated for breast cancer using DBT, which has a superior diagnostic performance compared to DM alone.

경동맥 죽상경화반의 고해상도 자기공명영상 (High-Resolusion Magnetic Resonance Imaging of Carotid Atherosclerotic Plaque)

  • 변우목;조재호
    • Journal of Yeungnam Medical Science
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    • 제21권2호
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    • pp.143-150
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    • 2004
  • A thromboembolic stroke is believed to be precipitated by a rupture of vulnerable atheromatous plaques. Until recently the assessment of a further risk of stroke in high-risk patients in whom atherosclerosis has presented with a transient ischaemic attack (TIA), has been confined to a quantitative assessment of the luminal patency of the internal carotid artery. These traditional stratification parameters are no longer believed to be the most accurate predictors of a thrombo-embolism. This is because the process of vessel wall remodeling can maintain a luminal patency, and consequently, quite large friable plaques may remain unidentified. Accordingly, there is a need for an improved risk assessment. The fibrous cap of a vulnerable plaque is thinner, and an intraplaque hemorrhage and inflammation can occur during the development of atherosclerotic plaque. Several imaging methods for identifying vulnerable plaques have been developed. Recently, high resolution magnetic resonance (MR) imaging has emerged as an accurate non-invasive tool that can characterize the carotid plaque components in vivo. A High resolution carotid magnetic resonance is capable of distinguishing an intact, thick fibrous cap from a thin and ruptured cap in carotid plaque. In addition, a plaque MR can identify the active inflammation and detect a hemorrhage. High resolution carotid MR imaging is a valuable noninvasive method for quantifying the plaque components and identifying vulnerable plaque.

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PLC로 제어되는 기계에서 Fault Tree를 효과적으로 생성하기 위한 LAT(Ladder Analysis Tool)개발 (LAT System for Fault Tree Generation)

  • 김선호;김동훈;김도연;한기상;김주한
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 1997년도 추계학술대회 논문집
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    • pp.442-445
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    • 1997
  • A challenging activity in the manufacturing industry is to perform in real time the continuous monitoring of the process state, the situation assessment and identification of the problem on line and diagnosis of the cause and importance of the problem if he process does not work properly. This paper describes LAT(Ladder Analysis Tool) system for fault tree generation to improving the fault diagnosis of CNC machine tools. The system consists of 4 steps which can automatically ladder analysis from ladder diagram to two diagnosis function models. The two diagnostic models based on he ladder diagram is switching function model and step switching function model. This system tries to overcome diagnosis deficiencies present machine tool.

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생물 군집의 회복력 및 저항력 : 하천생태계 건전성 평가를 위한 응용성 (Resilience and Resistance of Biological Community : Application for Stream Ecosystem Health Assessment)

  • 노태호
    • 환경정책연구
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    • 제1권1호
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    • pp.91-110
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    • 2002
  • Ecosystem health assessment is an emerging concept regarded as a useful diagnostic tool for evaluating ecosystems. The stability of ecosystem is the main theme in the assessment. Generally, two components - resilience and resistance - are involved in the mechanism of ecosystem stability. In this study, relative degrees of the resistance and the resilience were quantified for most aquatic Insects Inhabiting running waters in Korea. A total of 34 groups were newly categorized based on previous studies, and a conceptual model has been produced. The model was applied for the aquatic insect communities inhabiting different streams and demonstrated that each stream ecosystem possessed different degrees of stability. This study also indicated that it was possible to compare stabilities of different ecosystems using relative degrees of resilience and resistance. Using the conceptual model, suitable conservation and management strategies could be recommended in ecological assessments. The model can be used as a stepping-stone for developing more comprehensive methodology that objectively diagnoses and evaluates the ecosystem stability.

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