• Title/Summary/Keyword: diagnostic procedures

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Assessment of Effective Dose from Diagnostic X-ray Examinations of Adult (진단X선에 의한 성인의 진단행위별 유효선량평가)

  • Kim, Woo-Ran;Lee, Choon-Sik;Lee, Jai-Ki
    • Journal of Radiation Protection and Research
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    • v.27 no.3
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    • pp.155-164
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    • 2002
  • Methodology to evaluate the effective doses to adults undergoing various diagnostic x-ray examinations were established by Monte Carlo simulation of the x-ray examinations. Anthropomorphic mathematical phantoms, the MIRD5 male phantom and the ORNL female phantom, were used as the target body and x-ray spectra were produced by the x-ray spectrum generation code SPEC78. The computational procedure was validated by comparing the resulting doses to the results of NRPB studies for the same diagnostic procedures. The effective doses as well as the organ doses due to chest, abdomen, head and spine examinations were calculated for x-rays incident from AP, PA, LLAT and RLAT directions. For instance, the effective doses from the most common procedures, chest PA and abdomen AP, were 0.029 mSv and 0.44 mSv, respectively. The fact that the effective dose from PA chest x-ray is far lower than the traditional value of 0.3 mSv(or 30 mrem), which results partly from the advances of technology in diagnostic radiology and partly from the differences in the dose concept employed, emphasizes necessities of intensive assessment of the patient doses in wide ranges of medical exposures. The methodology and tools established in this study can easily be applied to dose assessments for other radiology procedures; dose from CT examinations, dose to the fetus due to examinations of pregnant women, dose from pediatric radiology.

Analysis of Patient Exposure dose with Glass Dosimeter (Glass Dosimeter를 이용한 환자피폭선량에 관한 분석)

  • Kim, Jae-In;Choi, Won-Keun;Chang, Sung-Won;Oh, Chang-Seop;Lee, Kwan-Sup;Ha, Dong-Yoon
    • Korean Journal of Digital Imaging in Medicine
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    • v.11 no.1
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    • pp.15-20
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    • 2009
  • Far reducing medical radiation exposure and managing patient doses, Entrance surface doses(ESDs) were measured at Diagnostic Radiology Department in ASAN medical center, also we determined and compared with the Diagnostic Reference Level(DRL) of some other countries. ESDs were measured far the most common types of X-ray procedures, such as chest PA, lumbar spine AP, lumbar spine lateral, Pelvis AP, Skull PA. ESDs were measured by Glass dosimeter and Unfors Xi meter. Those were applied collimation center of phantom's entrance skin surface. The results of ESDs were compared Glass dosimeter with Unfors Xi meter. Those were measured within 5% statistical difference. It seemed well agreement at two devices. In most cases ESDs measured far the different types of X ray procedures were found to be lower than the DRL of IAEA, but ESDs on chest PA, lumbar spine AP, lumbar spine lateral, Pelvis AP, Skull PA were proximity ar excesses at DRL of advanced country. Through this study, we need an investigation and improvement at present diagnostic radiology exam system. Also, radiologists make an effort to reduce patient dose and having a technical skill.

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Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration in the Diagnosis of Lymphoma

  • Senturk, Aysegul;Babaoglu, Elif;Kilic, Hatice;Hezer, Habibe;Dogan, Hayriye Tatli;Hasanoglu, Hatice Canan;Bilaceroglu, Semra
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.10
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    • pp.4169-4173
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    • 2014
  • Background: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is highly accurate in diagnosing mediastinal lymphadenopathies of lung cancer and benign disorders. However, the utility of EBUS-TBNA in the diagnosis of mediastinal lymphomas is unclear. The aim of this study was to determine the diagnostic value of EBUS-TBNA in patients with suspected lymphoma. Materials and Methods: Sixty-eight patients with isolated mediastinal lymphadenopathy and suspected of lymphoma were included in the study. EBUS-TBNA was performed on outpatients under moderate sedation. The sensitivity, specificity, negative predictive value and diagnostic accuracy of EBUS-TBNA were calculated. Results: Sixty-four patients were diagnosed by EBUS-TBNA, but four patients with non-diagnostic EBUS-TBNA required surgical procedures. Thirty-five (51.5%) patients had sarcoidosis, six (8.8%) had reactive lymphadenopathy, nine (13.3%) had tuberculosis, one (1.5%) had squamous cell carcinoma, two (2.9%) had sarcoma and fifteen (22%) had lymphoma (follicular center cell, large B-cell primary, and Hodgkin lymphomas in three, two, and ten, respectively). Of the 15 lymphoma patients, thirteen were diagnosed by EBUS and two by thoracotomy and mediastinoscopy. The sensitivity, specificity, negative predictive value, and diagnostic accuracy of EBUS-TBNA for the diagnosis of lymphoma were calculated as 86.7%, 100%, 96.4%, and 97%, respectively. Conclusions: EBUS-TBNA can be employed in the diagnosis of mediastinal lymphoma, instead of more invasive surgical procedures.

Two Cases of Laparoscopic Adhesiolysis for Chronic Abdominal Pain without Intestinal Obstruction after Total Gastrectomy

  • Choi, Hyun Jung;Yoon, Sang Chul;Kim, Yong Jin
    • Journal of Gastric Cancer
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    • v.12 no.4
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    • pp.249-253
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    • 2012
  • Chronic abdominal pain remains a challenge to all known diagnostic and treatment methods with patients undergoing numerous diagnostic work-ups including surgery. However, the surgical treatment of patients with chronic intractable abdominal pain is controversial. There has been no discussion of the indications for adhesiolysis in cases of obstruction or strangulation of the bowel, and adhesiolysis by laparotomy has never gained acceptance as a treatment modality for chronic abdominal pain. One of the reasons for this lack of acceptance is the high complication rate during and after adhesiolysis. Laparoscopic surgery has been accepted as a technique for diagnostic and therapeutic procedures in general surgery. Laparoscopy allows surgeons to see and treat many abdominal changes that could not otherwise be diagnosed. Here we report two cases of successful symptomatic improvement through laparoscopic adhesiolysis for chronic abdominal pain without intestinal obstruction after total gastrectomy.

Development of Remote Diagnostic Monitoring System for Motor-Operated Valves (모터구동밸브의 원격 진단 시스템 개발에 대한 연구)

  • Lim, Chan-Woo;Chai, Jang-Bom;Kang, Seong-Ki;Park, Sung-Keun;Kang, Shin-Chul
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2002.11b
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    • pp.434-439
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    • 2002
  • A diagnostic methodology, which utilizes only the remotely-measurable signals, has been requested to be developed in order to evaluate and monitor conditions of MOVs. It is proven that the stem thrust are the most important variables which provide the operability of MOVs. Therefore the stem thrust estimator was developed and validated, which estimates stem thrust by use of the motor torque. The motor torque is calculated using electrical signals which can be measured in Motor Control Center(MCC). The procedures to evaluate the accuracy of the diagnostic variables were set up and the accuracy of each variable was obtained through the experiments under various conditions. In addition, the applicability of the stem thrust estimator was tested in the plants.

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Disease Progression-Associated Diagnostic and Treatment Procedure for a Dog with Hepatic Abscesses: A Case Report

  • Hyunji Lee;Sungwon Ann;Youngsam Kwon;Min Jang;Sangkwon Lee;Taeho Oh;Seulgi Bae
    • Journal of Veterinary Clinics
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    • v.39 no.6
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    • pp.360-365
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    • 2022
  • A 15-year-old spayed female Yorkshire Terrier was presented to our hospital with a history of anorexia, depression and abdominal pain. Diagnostic procedures including blood test, radiography and ultrasonography were performed. Abdominal ultrasonography revealed multiple hypoechoic cysts in the left lobe of the liver. Over time, the cysts increased in size and became more echogenic. Four days later, the rupture of the largest cyst was suspected, and hepatic abscesses with bacteria were confirmed by aspiration of the cyst. Despite surgical resection of the abscessed liver lobe, antibiotic administration, and supportive therapy, the dog died 9 days after presentation to the hospital and 4 days after the surgical procedure. The present case report described the overall diagnostic and therapeutic approaches for liver abscesses in a dog.

Diagnostic procedures of TMD and orofacial pain (턱관절 장애와 구강안면통의 진단술식)

  • Kim, Gi-Seok
    • The Journal of the Korean dental association
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    • v.40 no.6 s.397
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    • pp.436-441
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    • 2002
  • 턱관절 장애와 관련된 안면통의 진단술식에는 턱관절 검진, 저작근, 두경부 검진, 교합분석과 같은 구강검사, 진단성 마취검사, 방사선검사 등이 있다. 여기에서는 가장 흔히 술자가 시행할 수 있고 간편한 술식을 중심으로 턱관절 검사와 저작근 검사, 그리고 두경부 근육애 대한 검사에 대하여 고찰키로 한다.

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A Study on Applications of Regression Diagnostic Method to Technometrics, and the Statistical Quality Control

  • Kim, Soon-Kwi
    • Journal of Korean Society for Quality Management
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    • v.21 no.1
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    • pp.55-64
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    • 1993
  • This article is concerned with procedures for detecting one or more outliers or influential observations in a linear regression model. A test procedure, based on recursive residuals is proposed and developed The power of the test procedure to identify one or more outliers is investigated through simulation, and its relevance to the number and configuration of the outlier.

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Development of Practical Investigation and Diagnosis Model in Rural Villages(II) - Development of Efficient Application Procedures and Investigation Methodologies - (농촌마을의 실증적 조사·진단기법 개발(II) - 효율적 적용절차 및 조사방법론 개발 -)

  • Koo, Hee-Dong;Park, Mi-Ran;Kim, Dae-Sik
    • Journal of Korean Society of Rural Planning
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    • v.27 no.4
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    • pp.109-122
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    • 2021
  • The purpose of this study is to develop a application procedure and survey method for the empirical diagnostic indices system. In order to know the survey method, which has 65 investigation items for 52 indicators, this study not only presented so that the each survey items could be surveyed in at least 1 to 3 steps, but also presented the 4 survey method for each investigation items: preliminary survey, administrative survey, field survey, and interview survey. As a result of applying to 15 sample villages, the period of surveying a village of 100 households was 1.4 days, and it was confirmed that the survey was generally efficient in a short time. As a result of applying the survey system to the sample village, the developed survey system showed the possibility of investigating even the details of rural villages. Therefore, it was judged that it could be used as a basic procedure for a rural village unit survey.