• Advances in pediatric surgery
• /
• 제20권2호
• /
• pp.33-37
• /
• 2014

Purpose: The purpose of this study was to compare the diagnostic accuracy of the non-invasive diagnostic methods and rectal suction biopsy for the detection of Hirschsprung disease (HD). Methods: We reviewed diagnostic methods and results retrospectively in patients who underwent anorectal manometry, barium enema and rectal suction biopsy for the diagnosis of HD at Asan Medical Center from January 2000 to December 2012. Results: There were 97 patients (59 neonates and 38 infants) in the study period. The overall accuracy of anorectal manometry for the diagnosis of HD was 71.1% and its sensitivity was 51.4% (48.1% in neonate and 62.5% in infant, respectively) and its overall specificity was 82.3% (81.3% in neonate and 83.3% in infant, respectively). The Overall accuracy of barium enema was 66.0% (72.8% in neonate and 55.3% in infant, respectively) and specificity of barium enema was 53.2% (56.3% in neonate and 50.0% in infant, respectively). These results were lower than those of anorectal manometry. The overall sensitivity of barium enema was 88.6% (92.6% in neonate and 75.0% in infant, respectively) and it was higher than the sensitivity of anorectal manometry. Histological studies confirmed HD in 35 patients, in one of whom the suction biopsy showed negative finding. Conclusion: Accuracy of non-invasive methods for diagnosis of HD in our study is lower than those in previous study, so we need to improve the quality of diagnostic tools in our hospital. We conclude that the rectal suction biopsy is the most accurate test for diagnosing HD, so the biopsy to confirm the diagnosis of the HD is very important.

• 한국미생물·생명공학회지
• /
• 제43권3호
• /
• pp.177-186
• /
• 2015

국내 식품공전에 기술되어 시행중인 식품 내 벤조피렌 분석법은 회수율, 검출 및 정량 한계, 효용성과 정확성 등이 검증되어 적용되고 있다. 그러나, 기존의 시험법에는 시료의 추출 및 분리, 정제 등의 복잡한 전처리 과정이 포함되어 있다. 환경 및 식품 내 위해물질 검출법의 연구 및 개발의 현 추세는 시험비용과 시간소모를 최소화하고 시험과정을 단순화할 수 있는 비표지, 비파괴 분석법을 통해 관리 현장에서의 신속대응을 지향하고 있다. 본 총설에서는 현행의 벤조피렌 분석법에 대해 정리하고, 그 한계점을 극복하기 위한 새로운 시도로 라만 분광법을 이용한 벤조피렌 검출법에 대해 소개하고자 한다.

• 한국진공학회:학술대회논문집
• /
• 한국진공학회 2015년도 제49회 하계 정기학술대회 초록집
• /
• pp.142.2-142.2
• /
• 2015

Plasma etch endpoint detection (EPD) of SiO2 and PR layer is demonstrated by plasma impedance monitoring in this work. Plasma etching process is the core process for making fine pattern devices in semiconductor fabrication, and the etching endpoint detection is one of the essential FDC (Fault Detection and Classification) for yield management and mass production. In general, Optical emission spectrocopy (OES) has been used to detect endpoint because OES can be a simple, non-invasive and real-time plasma monitoring tool. In OES, the trend of a few sensitive wavelengths is traced. However, in case of small-open area etch endpoint detection (ex. contact etch), it is at the boundary of the detection limit because of weak signal intensities of reaction reactants and products. Furthemore, the various materials covering the wafer such as photoresist (PR), dielectric materials, and metals make the analysis of OES signals complicated. In this study, full spectra of optical emission signals were collected and the data were analyzed by a data-mining approach, modified K-means cluster analysis. The K-means cluster analysis is modified suitably to analyze a thousand of wavelength variables from OES. This technique can improve the sensitivity of EPD for small area oxide layer etching processes: about 1.0 % oxide area. This technique is expected to be applied to various plasma monitoring applications including fault detections as well as EPD.

• 한국한의학연구원논문집
• /
• 제14권3호
• /
• pp.89-95
• /
• 2008

A tongue shows physiological and clinicopathological changes of inner organs. Visual inspection of a tongue is not only convenient but also non-invasive. To develop an automat ic tongue diagnosis system for an objective and standardized diagnosis, the separation of the tongue are a from a facial image and the detection of coatings, spots and cracks are inevitable but difficult since the colors of a tongue, lips, and skin in a mouth as well as those of tongue furs and body are similar. The propose d method includes preprocessing with down-sampling and edge enhancement, over-segmentation, detecting positions with a local minimum over shading from the structure of a tongue, and correcting local minima or detecting edge with color difference. The proposed method produces the region of a segmented tongue, and then decomposes the color components of the region into hue, saturation and brightness, resulting in classifying the regions of tongue furs(coatings) into kinds of coatings and substance and segmenting them. Spots are detected by using local maxima and the variation of saturation, and cracks are searched by using local minima and the directivity of dark areas in brightness. The results illustrate the segmented region with effective information, excluding a non-tongue region and also give us accurate discrimination of coatings and the precise detection of spots and cracks. It can be used to make an objective and standardized diagnosis for an u-Healthcare system as well as a home care system.

• Mycobiology
• /
• 제44권2호
• /
• pp.99-104
• /
• 2016

Candida spp. is an invasive infectious fungus, a major risk factor that can increase morbidity and mortality in hospitalized patients. In this study, 2,508 Candida spp. were isolated from various clinical specimens collected from university hospitals from July 2011 to October 2014. They were identified in order to determine isolation frequencies and characteristics by specimen, gender, age group, year, season, and month. The strain-specific isolation rate of Candida spp. is in the order of Candida albicans (1,218 strains, 48.56%), Candida glabrata (416 strains, 16.59%), Candida utilis (305 strains, 12.16%), Candida tropicalis (304 strains, 12.12%), and Candida parapsilosis (116 strains, 4.63%) and these five species accounted for more than 94% of the total strains. Of the specimens, Candida spp. were most frequently isolated from urine-catheter, followed by urinevoided, blood, sputum, other, open pus, vaginal discharge, Tip, ear discharge, bronchial aspiration and bile, in that order. Looking at the age distribution, the detection rate of patients in their 60s and older was significantly higher at 75.8% (1,900/2,508). The detection rate of patients in their 20s and younger was shown to be very low at 2.55% (64/2,508). By year, the detection rate of non-albicans Candida spp. showed a tendency to gradually increase each year compared with C. albicans. As isolation of Candida spp. from clinical samples at the specie level can vary depending on characteristics of the patient, sample, season, etc., continual studies are required.

• 한국환경생태학회지
• /
• 제36권5호
• /
• pp.535-549
• /
• 2022

강풍, 폭우 등 이상기후의 대형화와 빈도 증가로 인해 나무가 부러지거나 쓰러지는 훼손이 증가하고 있으나 나무 내부의 공동, 부후 등 구조적 결함은 육안조사로 판별이 어렵기 때문에 예측을 통한 사전대응에 한계가 있다. 비파괴음파단층촬영은 나무에 미치는 물리적 훼손을 최소화하면서 내부결함을 추정하는 방법으로 내부결함 진단에 효율적이나 수종별 정확도에 차이가 발생하기 때문에 현장적용 전 측정결과의 신뢰성 분석이 선행되어야 한다. 이번 연구는 우리나라 대표 수종인 소나무와 은행나무 노거수를 대상으로 음파단층촬영의 신뢰성 검증을 위해 침입성 드릴저항 측정을 교차 적용하여 목재 내부결함을 측정하고 평가결과를 비교하였다. 두 집단 간 결함부 측정 평균값에 대한 t검정 결과 소나무는 통계적으로 유의한 차이가 없는 반면, 은행나무는 유의성에 차이가 있었다. 선형회귀분석 결과 두 수종 모두 드릴저항그래프의 결함이 증가할 때 음파단층영상 결함이 증가하는 양의 상관관계를 보였다.

• Journal of Korean Neurosurgical Society
• /
• 제30권6호
• /
• pp.711-716
• /
• 2001

Objectives : Three-dimensional computed tomographic angiography(3D-CTA) is recently developed diagnostic imaging modality. We have studied this noninvasive method for possible role in replacing conventional angiography( CA) in the detection of aneurysms of the circle of Willis in patients with subarachnoid hemorrahge(SAH). Methods : We studied retrospectively, the 100 patients with SAH or unruptured aneurysms admitted to our hospital from October 1997 to December 1998. Among there, 85 patients underwent CTA, 82 patients underwent CA and 67 patients underwent both of CTA and CA. 3D-CTA was obtained using maximum intensity projection(MIP) and shaded-surface display(SSD) reconstruction. Results : Total 107 aneurysms were detected in 92 patients, and 64 aneurysms were detected in 67 patients underwent both CTA and CA. In five cases of those 67 cases, aneurysms were detected by CA but not by 3D-CTA. The detection rate of aneurysms(91.8%) and the detection rate of parent artery in cases of anterior communicating artery aneurysms(86.9%) with total 3D-CTA were relatively compatible with that of CA. But 3D-CTA was not enough in detection of posterior communicating artery aneurysms, internal carotid artery aneurysms as well as small sized aneurysm(<3mm). Conclusion : We consider CTA is valuable in as a screening test for cerebral aneurysm and follow-up test. And it is also valuable in early surgery for patients with aneurysmal rebleeding because of simple, quick, non-invasive method.

• Asian Pacific Journal of Cancer Prevention
• /
• 제15권18호
• /
• pp.7981-7984
• /
• 2014

Purpose: Colorectal cancer (CRC) screening with fecal occult blood testing (FOBT) has been associated with a reduction in CRC incidence and CRC-related mortality. However, a conventional FOBT requires stool collection and handling, which may be inconvenient for participants. The EZ-Detect$^{TM}$ (Siam Pharmaceutical Thailand) is a FDA-approved chromogen-substrate based FOBT which is basically a self-checked FOBT (no stool handling required). This study aimed to evaluate the accuracy of EZ-Detect for CRC detection. Methods: This prospective study was conducted in the Faculty of Medicine, Siriraj Hospital, Bangkok, Thailand between November 2013 and May 2014. Some 96 patients with histologically-proven CRC and 101 patients with normal colonoscopic findings were invited to perform self-checked FOBT according to the manufacturer's instructions. Results were compared with endoscopic and pathologic findings. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) for CRC detection were calculated. Results: The present study revealed the sensitivity, specificity, PPV and NPV of this self-checked FOBT for CRC detection to be 41% (95% CI: 31-51), 97% (95% CI: 92-99), 93% (95% CI: 81-98) and 63% (95% CI: 55-70), respectively. The overall accuracy of the self-checked FOBT for identifying CRC was 70%. The sensitivity for CRC detection based on 7th AJCC staging was 29% for stage I, 32% for stage II and 50% for stage III/IV (P=0.19). The sensitivity was 33% for proximal colon and 42% for distal colon and rectal cancer (P=0.76). Notably, none of nine infiltrative lesions gave a positive FOBT. Conclusions: The self-checked FOBT had an acceptable accuracy of CRC detection except for infiltrative tumors. This home-administrated or 'DIY' do-it-yourself FOBT could be considered as one non-invasive and convenient tool for CRC screening.

• Nuclear Medicine and Molecular Imaging
• /
• 제42권1호
• /
• pp.1-7
• /
• 2008

PET allows non-invasive, quantitative and repetitive imaging of biological function in living animals. Small animal PET imaging with $[^{18}F]$FDG has been successfully applied to investigation of metabolism, receptor-ligand interactions, gene expression, adoptive cell therapy and somatic gene therapy. Experimental condition of animal handling impacts on the biodistribution of $[^{18}F]$FDG in small animal study. The small animal PET and CT images were registered using the hardware fiducial markers and small animal contour point. Tumor imaging in small animal with small animal $[^{18}F]$FDG PET should be considered fasting, warming, and isoflurane anesthesia level. Registered imaging with small animal PET and CT image could be useful for the detection of tumor. Small animal experimental condition of animal handling and registration method will be of most importance for small lesion detection of metastases tumor model.

• Molecules and Cells
• /
• 제39권8호
• /
• pp.639-644
• /
• 2016

Discovery of non-invasive diagnostic and predictive biomarkers for acute rejection in liver transplant patients would help to ensure the preservation of liver function in the graft, eventually contributing to improved graft and patient survival. We evaluated selected cytokines and chemokines in the sera from liver transplant patients as potential biomarkers for acute rejection, and found that the combined detection of IL-10, IL-17, and CXCL10 at 1-2 weeks post-operation could predict acute rejection following adult liver transplantation with 97% specificity and 94% sensitivity.