• 제목/요약/키워드: diagnostic point

검색결과 472건 처리시간 0.028초

인공와우 이식술 환자의 Cochlear View 촬영에 관한 연구 (A study on the Cochlear View in Multichannel Cochlear Implantees)

  • 권대철;김정희;김성룡;김해성;이용우
    • 대한방사선기술학회지:방사선기술과학
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    • 제22권2호
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    • pp.27-32
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    • 1999
  • Cochlear implant poses a contraindication to the magnetic resonance imaging(MRI) process, because MRI generates artifacts, inducing an electrical current and causing device magnetization. CT is relatively expensive and the metal electrodes scatter the image. Post-implantation radiological studies using anterior-posterior transorbital, submental-vertex and lateral views, the intracochlear electrodes are not well displayed. Therefore, the authors developed a special view, which we call the cochlear view. The patient is sitting in front of a vertical device. Then the midsagittal plane is adjusted to form an angle of $15^{\circ},\;30^{\circ}$, and $45^{\circ}$ with the film. The flexion of the neck is adjusted to make the infraorbitomeatal line(IOML) is parallel with the transverse axis of the film. The central ray is directed to exit from the skull at point which is 3.0 cm anterior and 2.0 cm superior to the EAM(external auditory meatus). Results have shown that single radiography of the cochlear view provides sufficient information to demonstrate the position of the electrodes array and the depth of insertion in cochlear. Radiography of the cochlear view in angle of $45^{\circ}$ is an excellent image. The cochlear view gives the greatest amount of medical information with the least radiation and lowest medical cost. It can be widely used in all cochlear implant clinics.

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단순 방사선 영상기반 바이오마커를 활용한 흉·요추의 추나의학적 변위 진단 방법 (Radiograph-based Diagnostic Methods for Thoracic and Lumbar Spine Malposition in Chuna Manual Therapy Using Biomarkers)

  • 이진현;최민호;김중일;장준수;박태용
    • 척추신경추나의학회지
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    • 제18권2호
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    • pp.1-8
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    • 2023
  • Objectives This study aimed to propose biomarkers for diagnosing Chuna manual therapy (CMT) based on X-ray images in the thoracic and lumbar spines. Methods Through a literature review and expert consensus process, diagnostic biomarkers for CMT were selected based on the listing system in thoracic and lumbar radiograph anterior-posterior (AP) and lateral views. Results 1. Diagnostic biomarkers were derived from four points on the outer contour of the vertebral body in the thoracic and lumbar spine radiograph lateral view, enabling the diagnosis of flexion and extension malposition. 2. Additional diagnostic biomarkers were identified in the thoracic and lumbar radiographAP view, utilizing points on the outer contour of the vertebral body. These biomarkers facilitate the diagnosis of lateral bending. Moreover, biomarkers derived from the innermost point of the pedicle contour allow for the diagnosis of rotation malposition. 3. Furthermore, through the biomarkers proposed in this study, all malpositions of the thoracolumbar spines and complex Type I and II malpositions can be diagnosed in CMT. Conclusions The biomarkers reported in this study consist of minimal points to determine the position of the vertebral body, providing the advantage of simplicity while minimizing potential errors during the CMT diagnostic process. Further clinical research and the development of related programs should be pursued to expand the evidence for CMT.

Quantitative Analysis of Myofascial Pain Syndrome in Trapezius Muscle Using Pressure Algometer and Surface Electromyography

  • Kim, Shin-Hye;Ko, Yu-Min;Park, Ji-Won;Youn, Jong-In
    • The Journal of Korean Physical Therapy
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    • 제33권5호
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    • pp.258-263
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    • 2021
  • Purpose: Myofascial syndrome is a chronic muscle pain caused by repetitive motions with stress-related muscle tension. This study aimed to investigate the validity and reliability of the evidence for diagnosing myofascial pain syndrome in trapezius muscle using a pressure algometer and surface electromyography. Methods: The experiments were performed using a total of 10 subjects, and the target locations were determined by means of a pressure algometer in the right upper trapezius muscle. The part with the lowest pain value as the trigger point and the part with the highest pain value as the non-pain trigger point were selected for measuring the locations. The median frequency and average frequency were measured in those locations with electromyography. To check the muscle fatigue, the upper trapezius muscle was moved up and down for 2 seconds at 5-second intervals in 30 seconds. The measured values were evaluated using the independent paired t-test and MannWhitney U-test. Results: The median frequency at the non-trigger point (13.7) was significantly higher than that at the trigger point (7.3). Furthermore, the mean frequency (14.7) at the non-trigger point was significantly higher than that at the trigger point (6.3). Conclusion: The results showed the correlations between the trigger points of the muscle pain and frequency analysis of surface electromyography. Thus, this study may be possible to use as a diagnostic tool for myofascial pain syndrome.

Recent update of autism spectrum disorders

  • Kim, Sung Koo
    • Clinical and Experimental Pediatrics
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    • 제58권1호
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    • pp.8-14
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    • 2015
  • In patients with a language developmental delay, it is necessary to make a differential diagnosis for autism spectrum disorders (ASDs), specific language impairment, and mental retardation. It is important that pediatricians recognize the signs and symptoms of ASDs, as many patients with language developmental delays are ultimately diagnosed with ASDs. Pediatricians play an important role in the early recognition of ASDs, because they are usually the first point of contact for children with ASDs. A revision of the diagnostic criteria of ASDs was proposed in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) that was released in May 2013. The autism spectrum describes a range of conditions classified as neurodevelopmental disorders in the fifth edition of the DSM. The new diagnostic criteria encompasses previous elements from the diagnosis of autistic disorder, Asperger disorder, childhood disintegrative disorder, and pervasive developmental disorder-not otherwise specified. An additional change to the DSM includes synthesizing the section on social and communication deficits into one domain. In ASD patients, the appropriate behavioral therapies and rehabilitation treatments significantly affect the prognosis. Therefore, this makes early diagnosis and treatment very important. In conclusion, pediatricians need to be able to recognize the signs and symptoms of ASDs and be attentive to them in order to make an early diagnosis and provide treatment.

태풍 나크리(0208)의 강도변화에 관한 진단적 분석 (A Diagnostic Analysis on the Intensity Change of Typhoon NAKRI(0208))

  • 김백조;김경식;장기호;박종길
    • 한국환경과학회지
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    • 제22권3호
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    • pp.319-329
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    • 2013
  • In this study, the cause of rapid intensity change of typhoon Nakri(0208) in view of point of a trough-typhoon interaction using diagnostic methods was examined based on 6-hourly GDAPS data from 10 to 13 July, 2002. At 0000 UTC 13 July, high PV(Potential Vorticity) region moved southeastward, reaching to the western edge of the Korean peninsula and near typhoon center at surface and there shows an increasing value of EFC(Eddy Momentum Flux Convergence). Also, as the trough and typhoon approach one another at the same time, the vertical shear(850-200 hPa) increases to more than 15 m/s. Thus, it might be concluded that the trough-typhoon interaction made intensified significantly, providing the fact that typhoon Nakri(0208) underwent substantial weakening while moving northward to around Jeju island.

소뇌경색 경과 중 호홉곤란이 발생한 환자(患者) 치험(治驗) 1례(例) (One Case Treated Dyspnea with Cerebellar Infarction)

  • 고재철;고승희;이청정혜;박세기;김동우;한양희;전찬용;박종형;최유경
    • 대한한방내과학회지
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    • 제21권4호
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    • pp.687-691
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    • 2000
  • In this case report regarding one patient with complete left bundle branch block and mild hypokinesia of left ventricle, who had cebebellar infarction and therefore showed the symptoms of cerabellar dyskinesia followed by dyspnea, chest discomfortness, insomnia and dry cough. From the point of oriental diagnostic criteria, the patient s clinical conditions were all classified as $^{\circ}AEdeprivation$ of kidney essence' and treated accordingly. He showed no change in EKG monitoring but above symptoms were removed markedly after following treatment. Further elaboration of oriental diagnostic classification could possibly lead to the fundamental treatment.

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측정환경과 보관환경이 포스파젠 진단막을 이용한 혈당측정에 미치는 영향 (Effects of Testing and Storage Environments on the Blood Glucose Measurements by Using Phosphazene Diagnostic Membranes)

  • 권석기
    • 멤브레인
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    • 제22권5호
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    • pp.301-308
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    • 2012
  • 당뇨병 환자의 혈당치 측정을 위하여 포스파젠 진단막을 제조하였다. 활성화된 포스파젠 진단막을 이용해 혈액 속의 글루코우즈의 농도를 변화시켜가며 여러 온도와 습도에서 680 nm에서의 최종흡광도를 측정하였다. 측정 온도와 습도는 시간에 따른 흡광도 변화량(K/S)의 최종 결과치에 크게 영향을 주지 않았다. 여러 가지 온도에서 활성화된 포스파젠 진단막을 3일, 1주, 3주, 5주간 보관한 후 보관온도가 글루코우즈의 농도 측정에 미치는 영향을 조사하였다. 그리고 상대습도 80%에서도 포스파젠 진단막의 안정성이 확인되었다.

화학적 인공 인접면 치아우식증의 디지털 영상 진단능 평가 (Diagnostic accuracy of digital images for detection of artificial chemical proximal caries)

  • 박금미;나경수
    • Imaging Science in Dentistry
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    • 제33권2호
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    • pp.91-95
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    • 2003
  • Purpose : To compare the diagnostic accuracy of proximal caries detection between Kodak Insight film and the Biomedisys CDX2000HQ digital (CCD) sensor. Materials and Methods: 156 proximal surfaces of extracted teeth, 78 of which had chemical artificial caries, were used in this study. Four observers interpreted the radiographs using a five-point confidence rating scale to record their diagnoses. The results were analyzed by receiver operating characteristic curves, ANOVA and Kappa values. Result: Analysis using receiver operating characteristic curves revealed the areas under each curve which indicated a diagnostic accuracy of 0.951 in Insight and 0.952 in CDX2000HQ digital sensor. ANOVA revealed no significant differences between the two images with respect to caries detection. Kappa values indicated that the mean intra-observer agreement was 0.85 and inter-observer agreement 0.71 in conventional radiography. In digital radiography, the mean intra-observer agreement was 0.84 and inter-observer agreement 0.72. Conclusion: The results suggest that no significant difference exists between the two modalities for artificial caries detection and that CDX2000HQ was as good as Insight film for this purpose.

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A diagnostic approach for concrete dam deformation monitoring

  • Hao Gu;Zihan Jiang;Meng Yang;Li Shi;Xi Lu;Wenhan Cao;Kun Zhou;Lei Tang
    • Steel and Composite Structures
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    • 제49권6호
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    • pp.701-711
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    • 2023
  • In order to fully reflect variation characteristics of composite concrete dam health state, the monitoring data is applied to diagnose composite concrete dam health state. Composite concrete dam lesion development to wreckage is a precursor, and its health status can be judged. The monitoring data are generally non-linear and unsteady time series, which contain chaotic information that cannot be characterized. Thus, it could generate huge influence for the construction of monitoring models and the formulation of corresponding health diagnostic indicators. This multi-scale diagnosis process is from point to whole. Chaotic characteristics are often contained in the monitoring data. If chaotic characteristics could be extracted for reflecting concrete dam health state and the corresponding diagnostic indicators will be formulated, the theory and method of diagnosing concrete dam health state can be huge improved. Therefore, the chaotic characteristics of monitoring data are considered. And, the extracting method of the chaotic components is studied from monitoring data based on fuzzy dynamic cross-correlation factor method. Finally, a method is proposed for formulating composite concrete dam health state indicators. This method can effectively distinguish chaotic systems from deterministic systems and reflect the health state of concrete dam in service.

Contrast-Enhanced Magnetic Resonance Angiography: Dose the Test Dose Bolus Represent the Main Dose Bolus Accurately?

  • Jongmin J. Lee;Yongmin Chang;Duk-Sik Kang
    • Korean Journal of Radiology
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    • 제1권2호
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    • pp.91-97
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    • 2000
  • Objective: To determine whether the time-intensity curves acquired by test and main dose contrast injections for MR angiography are similar. Materials and Methods: In 11 patients, repeated contrast-enhanced 2D-turbo-FLASH scans with 1-sec interval were obtained. Both test and main dose timeintensity curves were acquired from the abdominal aorta, and the parameters of time-intensity curves for the test and main boluses were compared. The parameters used were arterial and venous enhancement times, arterial peak enhancement time, arteriovenous circulation time, enhancement duration and enhancement expansion ratio. Results: Between the main and test boluses, arterial and venous enhancement times and arteriovenous circulation time showed statistically significant correlation (p < 0.01), with correlation coefficients of 0.95, 0.92 and 0.98 respectively. Although the enhancement duration was definitely greater than infusion time, reasonable measurement of the end enhancement point in the main bolus was impossible. Conclusion: Only arterial and venous enhancement times and arteriovenous circulation time of the main bolus could be predicted from the test-bolus results. The use of these reliable parameters would lead to improvements in the scan timing method for MR angiography.

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