• Title/Summary/Keyword: diagnostic key

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Characteristics of Magnetic Resonance(M.R.) and Comprehension of its Imaging Mechanism (자기공명(M.R.)진단법의 특징 및 그 영상기전의 이해)

  • Chang, Jae-Chun;Hwang, Mi-Soo;Kim, Sun-Yong
    • Journal of Yeungnam Medical Science
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    • v.4 no.1
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    • pp.1-15
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    • 1987
  • Magnetic Resonance (M.R.) is rapidly emerging technique that provides high quality images and potentially provides much more diagnostic information than do conventional imaging modalities. M.R.I. is conceptually quite different from currently used imaging methods. The complex nature of M.R.I. allows a great deal of flexibility in image product ion and available information, and key points are as follows. 1. M.R.I. offers a non-invasive technique with which to gene rate in vivo human images without ionizing radiation and with no known adverse biological effects. 2. Imaging mechanism of M.R.I. is quite different from conventional imaging modality and for more accurate diagnostic application, It is necessary for physician to understand imaging mechanism of M.R.I. 3. M.R. makes available basic chemical parameters that may provide to be useful for diagnostic medical imaging and more specific pathophysiologic information which are not available by alternate techniques. 4. M.R. can be produced by number of different methods. This flexibility allows the imaging technique to be applicated for particular clinical purpose. Multiplanar and three dimensional imaging may extend the imaging process beyond the single section available with current CT. 5. Future directions include efforts to; a. Further development of hard ware b. More fasternning scan time c. Respiratory and cardiac gated imaging d. Imaging of additional nuclei except hydrogen e. Further development of contrast media f. M.R. in vivo spectroscopy g. Real time M.R. imaging.

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Detection of MicroRNA-21 Expression as a Potential Screening Biomarker for Colorectal Cancer: a Meta-analysis

  • Jiang, Jian-Xin;Zhang, Na;Liu, Zhong-Min;Wang, Yan-Ying
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.18
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    • pp.7583-7588
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    • 2014
  • Background: Colorectal cancer (CRC) is a major cause of cancer-related death and cancer-related incidence worldwide. The potential of microRNA-21 (miR-21) as a biomarker for CRC detection has been studied in several studies. However, the results were inconsistent. Therefore, we conducted the present meta-analysis to systematically assess the diagnostic value of miR-21 for CRC. Materials and Methods: Using a random-effect model, the pooled sensitivity (SEN), specificity (SPE), positive likelihood ratio (PLR), negative likelihood ratio (NLR), and diagnostic odds ratio (DOR) were calculated to evaluate the diagnostic performance of miR-21 for CRC. A summary receiver operating characteristic (SROC) curve and an area under the curve (AUC) were also generated to assess the diagnosis accuracy of miR-21 for CRC. Q test and I2 statistics were used to assess between-study heterogeneity. Publication bias was evaluated by the Deeks' funnel plot asymmetry test. Results: A total of 986 CRC patients and 702 matched healthy controls from 8 studies were involved in the meta-analysis. The pooled results for SEN, SPE, PLR, NLR, DOR, and AUC were 57% (95%CI: 39%-74%), 87% (95%CI: 78%-93%), 4.4 (95%CI: 2.4-8.0), 0.49 (95%CI: 0.32-0.74), 9 (95%CI: 4-22), and 0.83 (95%CI: 0.79-0.86), respectively. Subgroup analyses further suggested that blood-based studies showed a better diagnostic accuracy compared with feces-based studies, indicating that blood may be a better matrix for miR-21 assay and CRC detection. Conclusions: Our findings suggest that miR-21 has a potential diagnostic value for CRC with a moderate level of overall diagnostic accuracy. Hence, it could be used as auxiliary means for the initial screening of CRC and avoid unnecessary colonoscopy, which is an invasive and expensive procedure.

Standardization of drawing up diagnostic charts (진단 Chart 작성의 표준화)

  • Kwon, Young-Kyu
    • The Journal of Korean Medicine
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    • v.15 no.2 s.28
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    • pp.306-320
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    • 1994
  • An account book of medical treatment is a form of collection materials for diagnostic standardization, and it is a basis of standardization, standardization of medical records is a preconsideration of each standardization. But an account book of medical treatment is only a kind of form for recording medical treatment, therefore standardization of medical treatment eventually holds the key to the standardization of recording charts. However until now we have gradually reformed medical records in accordance with individual characters of medical treatment, and didn't have even standard sheme of medical records, also medical terms for medical records had an inconsistency of redescription and reiterative representation for an identical terms in all parts of the East learning, medical terms for medical records didn't unity. To make better this realities, standardization study used orginated system in the process of existing study, it can get ready the basis of discussion between O.M.D and O.M.D. it can make analysis of diagnostic course and can clearly understand usable information by diagnostic course. for that reason we hope that the basis of standardization is accomplished. And in advance of study for this standardization we have to analysis the course of medical treatment with demonstration of roof, first of all we have to study term definition by diagnostic course and prepare basis by diagnostic course. because this study have limits of indivisual study, it needs to long and synthetic investigation in Association levels. Although we cann't completely alternate with methods of measurement which relyed on individual mastery, if we exclude erroes of individual measurement through mechanization and verify results of diagnosis through keynotes, we can realize standardization of medical treatment with demonstration of proof and in this process we can use medical records as a tool collecting exact data, also we can realize standardization of drawing up medical records.

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First report of an aeolid nudibranch Flabellina athadona and an identification key for the genus Flabellina from Korea

  • Jung, Daewui;Park, Joong-Ki
    • The Korean Journal of Malacology
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    • v.31 no.3
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    • pp.249-252
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    • 2015
  • An aeolid nudibranch species Flabellina athadona (Bergh, 1875) is newly recorded from Korean waters. This species is distinguished from other congeneric species by the following characteristics: translucent white body, deep orange colored digestive glands, plenty of white specks, and a reversed Y-shaped marking on the head between rhinophores and oral tentacles. In this report, we also provide an identification key for the genus Flabellina in Korea, photographs, and diagnostic characteristics of F. athadona. Molecular identification using mtDNA cox1 partial sequences is also provided to help differentiate F. athadona from some of its closely related congeneric species.

Damage detection on two-dimensional structure based on active Lamb waves

  • Peng, Ge;Yuan, Shen Fang;Xu, Xin
    • Smart Structures and Systems
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    • v.2 no.2
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    • pp.171-188
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    • 2006
  • This paper deals with damage detection using active Lamb waves. The wavelet transform and empirical mode decomposition methods are discussed for measuring the Lamb wave's arrival time of the group velocity. An experimental system to diagnose the damage in the composite plate is developed. A method to optimize this system is also given for practical applications of active Lamb waves, which involve optimal arrangement of the piezoelectric elements to produce single mode Lamb waves. In the paper, the single mode Lamb wave means that there exists no overlapping among different Lamb wave modes and the original Lamb wave signal with the boundary reflection signals. Based on this optimized PZT arrangement method, five damage localizations on different plates are completed and the results using wavelet transform and empirical mode decomposition methods are compared.

A Taxonomic Review of the Genus Athalia (Hymenoptera: Tenthredinidae: Athaliinae) from South Korea

  • Park, Bia;Choi, Jin-Kyung;Wei, Meicai;Lee, Jong-Wook
    • Animal Systematics, Evolution and Diversity
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    • v.33 no.2
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    • pp.100-111
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    • 2017
  • The species of the genus Athalia Leach from South Korea are reviewed. Six species are listed, one of which is a new record from South Korea (Athalia tanaoserrula Chu and Wang). In South Korean Athalia, we were not able to find any specimens of A. kashmirensis Benson, while many specimens identified as such were a misidentifications of A. tanaoserrula. Therefore, we think that A. kashmirensis should be excluded from the faunal list of South Korea. A key to the species of South Korean Athalia, diagnosis, photographs of the diagnostic characters, distribution and recorded hosts for each species are also provided.

Diagnostic Value of Interleukin 21 and Carcinoembryonic Antigen Levels in Malignant Pleural Effusions

  • Bunjhoo, Hansvin;Wang, Zheng-Yun;Chen, Hui-Long;Cheng, Sheng;Xiong, Wei-Ning;Xu, Yong-Jian;Cao, Yong
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.7
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    • pp.3495-3499
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    • 2012
  • The aim of this study was to evaluate the diagnostic value of interleukin 21(IL-21) and carcinoembryonic antigen (CEA) in tuberculous pleural effusions (TPEs) and malignant pleural effusions (MPEs). Pleural effusion samples from 103 patients were classified on the basis of diagnosis as TPE (n=51) and MPE (n=52). The concentration of IL-21 was determined by ELISA. Lactate dehydrogenase (LDH), adenosine dehydrogenase (ADA) and CEA levels were also determined in all patients. A significant difference was observed in the levels of ADA and CEA (P<0.01), but not in the levels of LDH (P>0.05) between TPE and MPE. The concentration of IL-21 in MPE was significantly higher compared to TPE (P<0.01). With a threshold value of 4.32 pg/ml, IL-21 had a sensitivity of 76.9% (40/52) and a specificity of 80.4% (41/51). Combined detection of IL-21 and CEA had a sensitivity of 69.2% (36/52) and a specificity of 92.2% (47/51). These two markers can contribute to the differential diagnosis of MPEs.

A Study on the Reliability of Failure Diagnosis Methods of Oil Filled Transformer using Actual Dissolved Gas Concentration (유중가스농도를 이용한 유입식 변압기 고장진단 기법의 신뢰성에 관한 연구)

  • Park, Jin-Yeub;Chin, Soo-Hwan;Park, In-Kyoo
    • The Transactions of the Korean Institute of Electrical Engineers P
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    • v.60 no.3
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    • pp.114-119
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    • 2011
  • Large Power transformer is a complex and critical component of power plant and consists of cellulosic paper, insulation oil, core, coil etc. Insulation materials of transformer and related equipment break down to liberate dissolved gas due to corona, partial discharge, pyrolysis or thermal decomposition. The dissolved gas kinds can be related to the type of electrical faults, and the rate of gas generation can indicate the severity of the fault. The identities of gases being generated are using very useful to decide the condition of transformation status. Therefore dissolved gas analysis is one of the best condition monitoring methods for power transformer. Also, on-line multi-gas analyzer has been developed and installed to monitor the condition of critical transformers. Rogers method, IEC method, key gas method and Duval Triangle method are used to failure diagnosis typically, and those methods are using the ratio or kinds of dissolved gas to evaluate the condition of transformer. This paper analyzes the reliability of transformer diagnostic methods considering actual dissolved gas concentration. Fault diagnosis is performed based on the dissolved gas of five transformers which experienced various fault respectively in the field, and the diagnosis result is compared with the actual off-line fault analysis. In this comparison result, Diagnostic methods using dissolved gas ratio like Rogers method, IEC method are sometimes fall outside the ratio code and no diagnosis but Duval triangle method and Key gas method is correct comparatively.

Diagnostic Accuracy of $^{99m}Tc-Pyrophosphate$ Scan in Acute Myocardial Infarction (급성 심근 경색증에서의 $^{99m}Tc-Pyrophosphate$ Myocardial Scan의 양성율에 대한 연구)

  • Koong, Sung-Soo;Kim, Seung-Taik;Moon, Dae-Hyuk;Chung, June-Key;Lee, Myung-Chul;Cho, Bo-Youn;Koh, Chang-Soon
    • The Korean Journal of Nuclear Medicine
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    • v.23 no.1
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    • pp.13-18
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    • 1989
  • To evaluate diagnostic accuracy of $^{99m}Tc-pyrophosphate$ (PYP) myocardial scan, we analysed 160 $^{99m}Tc-PYP$ scans (acute transmural myocardial infarction 87 cases, acute subendocardial infarction; 20 cases, unstable angina pectoris; 7 cases, other disease; 46 cases). These scans were requested by the physician in Seoul National University Hospital from Sep. 1982 to Oct. 1987. And the diagnosis was confirmed by clinical course and laboratory examinations. 1) The diagnostic sensitivity of $^{99m}Tc-PYP$ scan in acute transmural myocardial infarction was 91.2% (62/68) if scintigraphy was performed within 7 days after infarction, 57.1% (8/14) between 8th and 14th day, 20% (1/5) and after 15 days. 2) The diagnostic sensitivity of $^{99m}Tc-PYP$ scan in acute subendocardial infarction was 75% (12/16) if scintigraphy was performed within 7 days after infarction and 0% after 8 days. 3) The diagnostic specificity of $^{99m}Tc-PYP$ scan in acute myocardial infarction was 94.3% (5/53). Among 5 cases of false positive scans, 1 case was unstable angina pectoris, 2 cases were old myocardial infarction with left ventricular aneurysm, 1 case was old myocardial infarction and the remaining 1 case was cardiomyopathy.

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Light-Chain Cardiac Amyloidosis: Cardiac Magnetic Resonance for Assessing Response to Chemotherapy

  • Yubo Guo;Xiao Li;Yajuan Gao;Kaini Shen;Lu Lin;Jian Wang;Jian Cao;Zhuoli Zhang;Ke Wan;Xi Yang Zhou;Yucheng Chen;Long Jiang Zhang;Jian Li;Yining Wang
    • Korean Journal of Radiology
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    • v.25 no.5
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    • pp.426-437
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    • 2024
  • Objective: Cardiac magnetic resonance (CMR) is a diagnostic tool that provides precise and reproducible information about cardiac structure, function, and tissue characterization, aiding in the monitoring of chemotherapy response in patients with light-chain cardiac amyloidosis (AL-CA). This study aimed to evaluate the feasibility of CMR in monitoring responses to chemotherapy in patients with AL-CA. Materials and Methods: In this prospective study, we enrolled 111 patients with AL-CA (50.5% male; median age, 54 [interquartile range, 49-63] years). Patients underwent longitudinal monitoring using biomarkers and CMR imaging. At follow-up after chemotherapy, patients were categorized into superior and inferior response groups based on their hematological and cardiac laboratory responses to chemotherapy. Changes in CMR findings across therapies and differences between response groups were analyzed. Results: Following chemotherapy (before vs. after), there were significant increases in myocardial T2 (43.6 ± 3.5 ms vs. 44.6 ± 4.1 ms; P = 0.008), recovery in right ventricular (RV) longitudinal strain (median of -9.6% vs. -11.7%; P = 0.031), and decrease in RV extracellular volume fraction (ECV) (median of 53.9% vs. 51.6%; P = 0.048). These changes were more pronounced in the superior-response group. Patients with superior cardiac laboratory response showed significantly greater reductions in RV ECV (-2.9% [interquartile range, -8.7%-1.1%] vs. 1.7% [-5.5%-7.1%]; P = 0.017) and left ventricular ECV (-2.0% [-6.0%-1.3%] vs. 2.0% [-3.0%-5.0%]; P = 0.01) compared with those with inferior response. Conclusion: Cardiac amyloid deposition can regress following chemotherapy in patients with AL-CA, particularly showing more prominent regression, possibly earlier, in the RV. CMR emerges as an effective tool for monitoring associated tissue characteristics and ventricular functional recovery in patients with AL-CA undergoing chemotherapy, thereby supporting its utility in treatment response assessment.