• Title/Summary/Keyword: false negative

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The Role of Thallium-201 Scintigraphy in Bone and Soft Tissue Tumor (근골격계 종양에서 탈륨 스캔의 역할)

  • Shin, Duk-Seop
    • Journal of Yeungnam Medical Science
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    • v.20 no.2
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    • pp.117-128
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    • 2003
  • Thallium-201 scintigraphy is used to discriminate the malignant bone tumor from the benign by qualitatively and quantitatively, and to predict the response of preoperative chemotherapy in osteosarcoma, by comparing the changes of thallium uptake ratio after chemotherapy to the tumor necrosis ratio. Thallium-201 scintigraphy scan should be done prior to surgical biopsy. PICKER Prism 2000 gamma camera with high resolution parallel hole collimator is usually used for scanning. The patient is injected with 2-3mCi of Tl-201 and the early phase is checked in 30 minutes and delayed phase in 3 hours. The scan images are visually evaluated by a blinded nuclear medicine physician. We could evaluate true positive, true negative, false positive and false negative by the comparison of results with those of biopsy, and calculate positive and negative predictive value(%), sensitivity(%), specificity(%) and diagnostic accuracy(%). For the quantitative analysis of thallium uptake, we drew the region of interest on the tumor side and contralateral normal side as mirror image, and calculated the uptake ratio with dividing the amount of gamma count in tumor side by normal side. We could calculate the percent changes of thallium uptake ratio in early and delayed phase, and compare them to the ratio of tumor necrosis. Thallium-201 scintigraphy proved as useful imaging study to discriminate malignant bone tumor from benign, but had exception in giant cell tumor and low grade malignant bone tumors. We can use T1-201 scan to differentiate the benign from the malignant tumor, and to evaluate the response of preoperative chemotherapy or radiotherapy, and to determine the residual tumor or local recurrence. For the better result, we need to have a more detail information about false positive cases and a more objective and quantitative reading technique.

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Characteristics of Analytical Errors Shown in the Korean Quality Control Program on Bulk Asbestos Analyses (고형물 석면분석에 대한 국내 정도관리 프로그램에서 나타난 분석 오류의 특성)

  • Kwon, Jiwoon;Chung, Eun-Kyo;Lee, In Seop;Kang, Seong-Kyu;Kim, Hyunwook
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.21 no.4
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    • pp.222-226
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    • 2011
  • This study was conducted to identify the characteristics of analytical errors shown in the Korean quality control program on bulk asbestos analyses using polarized light microscopy (PLM). 179 participating laboratories were required to analyze 4 samples respectively and asked to classify each test sample as asbestos-containing (positive) or non-asbestos-containing (negative). For positive samples, participants were also asked to identify the type and semiquantitate the contents of asbestos present. The test results showed 21 (4%) false negative errors among 562 samples, 9 (6%) false positive errors among 154 samples and 53 (9%) asbestos identification errors among 562 samples. Most of false negative and positive errors were observed in a few types of samples. Higher frequencies of asbestos identification errors were shown in samples containing two or more types of asbestos and samples containing anthophyllite, tremolite or actinolite asbestos. For semiquantitative analyses, the ratios of mean to nominal weight contents were 2.1 for chrysotile and 2.9 for amphiboles. A tendency of over-estimation was observed in semiquantitative analyses using the visual estimation technique and higher in case of analyzing samples containing amphiboles than chrysotile. Coefficients of variation (CVs) of semiquantitative analytical results were 0.44~0.83 and 0.5~1.14 for samples containing chrysotile and amphibole asbestos, respectively.

Comparative Study of Electromyography and Hand Elevation Test in Carpal Tunnel Syndrome

  • Yun, Tae Kyoung;Kim, Deok-Yeol;Ahn, Duck Sun
    • Archives of Reconstructive Microsurgery
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    • v.24 no.1
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    • pp.13-15
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    • 2015
  • Purpose: Since the hand elevation test was first introduced by Ahn in 2001, it has been one of most performing provocative test for diagnosing carpal tunnel syndrome. Although many studies have been published on the hand elevation test, there are no study that can explain why false-negative results of hand elevation test appears in carpal tunnel syndrome patients diagnosed by electromyography (EMG) findings. Therefore we searched out whether hand elevation test is related with EMG severity. Materials and Methods: We made a retrospective study of 654 bilateral carpal tunnel syndrome patients. Among them 134 were studied which had different hand elevation test results on each hands. The paired samples t-test was used to compare the EMG severity of each group. The relationships between hand elevation test and EMG severity were examined using Pearson-product correlations. Comparing whether the frequency of false negative hand elevation were different between both hands, and whether the severity of EMG depends on which side of hand is, was evaluated with Mann-Whitney U-test. Results: Severity of EMG in positive group was moderate to severe on average, whereas mild to moderate on negative group, with significant difference statistically (p<0.001). Correlation between the hand elevation test results and EMG severity also showed significance statistically (p<0.001). Conclusion: Mild severity of EMG was found out to be the factor affecting the false results. However, EMG severity and hand elevation test shows a meaningful correlation, supporting the value of hand elevation test.

Efficacy of intraoperative neuromonitoring (IONM) and intraoperative indocyanine green videoangiography (ICG-VA) during unruptured anterior choroidal artery aneurysm clipping surgery

  • Chanbo Eun;Seung Joo Lee;Jung Cheol Park;Jae Sung Ahn;Byung Duk Kwun;Wonhyoung Park
    • Journal of Cerebrovascular and Endovascular Neurosurgery
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    • v.25 no.2
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    • pp.150-159
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    • 2023
  • Objective: The aim of this study was to investigate the efficacy of intraoperative indocyanine green videoangiography (ICG-VA) and intraoperative neuromonitoring (IONM) to prevent postoperative ischemic complications during microsurgical clipping of unruptured anterior choroidal artery (AChA) aneurysms. Methods: We retrospectively reviewed the clinical and radiological records of all patients who had undergone microsurgical clipping for unruptured AChA aneurysms at our institution between April 2001 and December 2019. We compared the postoperative complication rate of the group for which intraoperative ICG-VA and IONM were utilized (group B; n=324) with that of the group for which intraoperative ICG-VA and IONM were not utilized (group A; n=72). Results: There were no statistically significant differences in demographic data between the two groups. Statistically significant differences were observed in the rate of overall complications (p=0.014) and postoperative ischemic complications related to AChA territory (p=0.039). All the cases (n=4) in group B who had postoperative infarctions related to AChA territory showed false-negative results of intraoperative ICG-VA and IONM. Conclusions: Preserving the patency of the AChA is essential to minimize postoperative complications. Intraoperative monitoring tools including ICG-VA and IONM can greatly contribute to lowering complication rates. However, their pitfalls and false-negative results should always be considered.

A Study on the Validity of Passive Hemagglutination (PHA) Test for HBsAb (B형 간염 바이러스 표면 항체 검출을 위한 Passive Hemagglutination (PHA)방법의 정확도에 관한 연구)

  • Park, Byung-Joo
    • Journal of Preventive Medicine and Public Health
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    • v.20 no.1 s.21
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    • pp.114-119
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    • 1987
  • The author investigated the effect of some variables such as age, sex and the experience of past vaccination on the validity of PHA. The changing pattern of the validity with the change of PHA diagnostic criteria, and the relationship between PHA test result and RIA Ratio Unit were also studied. The results obtained were as follow; 1) No statistically significant difference was found in sensitivity, specificity and negative predictability by sex, but positive predictability was significantly higher in male than that in female. 2) Positive predictability was shown to become higher with the increase of age and nagative predictability was found to be significally different among age groups, but no statistically significant difference was found in sensitivity and specificity by age group. 3) Significantly low specificity and high positive predictability were found in past vaccined group, but no statistically significant difference was found in sensitivity and negative predictability between past vaccined group and non-vaccined group. 4) False negative cases by PHA were found to be the weak positive reactors by RIA and false positive rate of PHA was as high as 46.3 per cent. 5) Sensitivity and specificity of PHA at the diagnostic criteria of HBsAb titer 1:2 were 98.4% and 53.8% respectively, but after increasing the HBsAb titer to 1:64 as the diagnostic criteria the results were 60.0% and 95.6% respectively.

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Comparison of RPR Card and Mediace RPR test by KFDA Guideline

  • Lee, Hae Soon
    • Korean Journal of Clinical Laboratory Science
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    • v.44 no.3
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    • pp.124-127
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    • 2012
  • Syphilis is an infectious and sexually transmitted chronic disease caused by Treponema pallidum. On the basis of clinical findings, the disease has been divided into a series of overlapping stages, which are used to help guide treatment and follow-up. Persons who have syphilis might seek treatment for signs or symptoms of primary infection, secondary infection and tertiary infection. Latent infections are detected by serologic testing. A presumptive diagnosis of syphilis is possible with the use of two types of serologic tests: nontreponemal tests and treponemal tests assay. The use of only one type of serologic test is insufficient for diagnosis, because each type of test has limitations, including the possibility of false-positive test results in persons without syphilis. KFDA published Koreans guideline of Sexually transmitted infections in 2011. Two hundred samples were tested by RPR card test and Mediace RPR test with simultaneously. The agreement between RPR card test and Mediace RPR test was 95%, the discrepant samples was 5%. The characteristics of 10 discrepant samples was RPR card Positive and Mediace RPR negative nine samples, RPR card negative and Mediace RPR positive one sample. The nine samples were confirmed as FTA-ABS by KFDA guideline of syphilis test algorism, all IgM test was Negative, all IgG test was reactive. So, these cases were past or latent syphilis. The one sample was false-positive reaction.

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A Study on the Somatic Cells in Half Milk Samples of Dairy Goats (젖염소 분방유즙에서 체세포에 대한 연구)

  • Kim, Hye-Ra;Lee, Jeong-Chi;Jeong, Ji-Young;Lee, Youn-Kyung;Shin, Sung-Shik;Lee, Chai-Yong
    • Journal of Veterinary Clinics
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    • v.24 no.2
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    • pp.177-181
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    • 2007
  • In the present study, a total of 547 half milk samples were collected from 274 dairy goats to perform somatic cell counts (SCC) and California mastitis test (CMT). Milk smear was stained with Pyronin Y-Methyl Green stain were classified into either epithelial or blood cells, etc. Of the 547 halves the percentage of CMT negative milk samples were 86%. Among these, 58.2% were CMT negative with SCC<500,000/ml, while 27.8% were CMT negative with SCC>500,000 ml. As expected, CMT score increased with the increase of SCC. The number of epithelial cells decreased with the increasing number of somatic cells, while the opposite was observed with the number of blood cells. These results indicate that the critical point in milk quality & CMT should be considered on the false (pseudo-SC) SCC in dairy goat.

3D Vision-based Security Monitoring for Railroad Stations

  • Park, Young-Tae;Lee, Dae-Ho
    • Journal of the Optical Society of Korea
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    • v.14 no.4
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    • pp.451-457
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    • 2010
  • Increasing demands on the safety of public train services have led to the development of various types of security monitoring systems. Most of the surveillance systems are focused on the estimation of crowd level in the platform, thereby yielding too many false alarms. In this paper, we present a novel security monitoring system to detect critically dangerous situations such as when a passenger falls from the station platform, or when a passenger walks on the rail tracks. The method is composed of two stages of detecting dangerous situations. Objects falling over to the dangerous zone are detected by motion tracking. 3D depth information retrieved by the stereo vision is used to confirm fallen events. Experimental results show that virtually no error of either false positive or false negative is found while providing highly reliable detection performance. Since stereo matching is performed on a local image only when potentially dangerous situations are found; real-time operation is feasible without using dedicated hardware.

A Novel Technique to Detect Malicious Packet Dropping Attacks in Wireless Sensor Networks

  • Terence, J. Sebastian;Purushothaman, Geethanjali
    • Journal of Information Processing Systems
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    • v.15 no.1
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    • pp.203-216
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    • 2019
  • The nature of wireless transmission has made wireless sensor networks defenseless against various attacks. This paper presents warning message counter method (WMC) to detect blackhole attack, grayhole attack and sinkhole attack in wireless sensor networks. The objective of these attackers are, to draw the nearby network traffic by false routing information and disrupt the network operation through dropping all the received packets (blackhole attack), selectively dropping the received packets (grayhole and sinkhole attack) and modifying the content of the packet (sinkhole attack). We have also attempted light weighted symmetric key cryptography to find data modification by the sinkhole node. Simulation results shows that, WMC detects sinkhole attack, blackhole attack and grayhole attack with less false positive 8% and less false negative 6%.

Application of artificial neural network to differential diagnosis of lung lesion: Preliminary results

  • Lee, Hae-Jun;Lee, Yu-Kyung;Hwang, Kyung-Hoon
    • Annual Conference of KIPS
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    • 2011.04a
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    • pp.1614-1615
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    • 2011
  • It is difficult to differentially diagnose between lung cancer and benign inflammatory lung lesion due to high false positive rate on F-18 FDG-PET. We investigated whether application of artificial neural network to this diagnosis may be helpful. We reviewed the medical records and F-18 FDG PET images of 12 patients, selecting clinical and PET variables such as SUV. For selected variables and confirm, multilayer neural perceptron was applied in crossvalidation method and compared to visual interpretation. Neural network correctly classified the lung lesions in 83%, and reduced greately the false positive rate. However, false negative rate was not influenced. Application of neural network to the differential diagnosis between lung cancer and benigh inflammatory lesion may be helpful. Further studies with more patients are warranted.