• Title, Summary, Keyword: 검사시간

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The Diagnostic Usefulness of Endoscopic Findings and Detection Rates of CLO and HpKit Test for Helicobacter pylori Infection in Children (소아의 Helicobacter pylori 감염에 있어서 위내시경 소견의 진단적 의의와 CLO 및 HpKit 검사의 검출률)

  • Lee, Seung Yeon;Yoo, Ji Hyung;Chung, Ki Sup
    • Korean Journal of Pediatrics
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    • v.45 no.4
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    • pp.482-488
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    • 2002
  • Purpose : We performed this study to evaluate the diagnostic usefulness of endoscopic finding of nodular gastritis, CLO and HpKit test for H. pylori infection in children. Methods : Gastroduodenal endoscopy and mucosal biopsy were performed on 212 children who visited our hospital between Jul. 1999 and May 2000 due to abdominal pain. We performed CLO and HpKit test for H. pylori with the time interval of 15, 30 minutes, 1, 2, 3, 24, 48, 72, 96, 120 and 144 hours. Histological examination of H. pylori was made by H-E or Alcian yellow stain with biopsy specimens. Sensitivity, specificity, positive predictive and negative predictive value of nodular gastritis, CLO and HpKit test were calculated from the analysis of above data. Results : Sensitivity and specificity of 3 hour-CLO test was 68.4% and 100% respectively. Sensitivity and specificity of 3 hour-HpKit test was 65.8% and 100% respectively. No significant difference in sensitivity and specificity was found between in 3 hour-CLO and HpKit test(P>0.05). Sensitivity of CLO test increased as time lapsed, but corresponding specificity did not decrease as time lapsed(sensitivity and specificity at 144 hours : 89.5% and 94.8% respectively). However, sensitivity of HpKit test increased as time lapsed, but specificity markedly decreased. Sensitivity and specificity of the nodular gastritis was 78.9% and 93.7% respectively. Conclusion : Both CLO and HpKit test have relatively low sensitivity and specificity for the detection of H. pylori in 3 hours of testing in children. The endoscopic finding of nodular gastritis is another good standard in the diagnosis of H. pylori infection in children.

Optimal Scan time Analysis for Pancreatic Cancer Distinction in Dual time PET-CT Exam (이중시간 PET/CT 검사에서 췌장암 판별을 위한 최적의 Scan time 분석)

  • Chang, Boseok
    • Journal of the Korean Society of Radiology
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    • v.13 no.2
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    • pp.305-311
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    • 2019
  • In this study, present the most useful delay scan time by statistical analysis of SUVm data for 30 suspected pancreatic cancer patients. Two statistical analysis and a mathematical model was applied to the theoretical formula by glucose and insulin mechanics, and a mathematical model was created. Statistical analysis was performed via Metlab p/g. Optimal delay scan time was suggested by Metlab p/g for the change of SUV value over time.In this study, for diagnosis pancreatic cancer by dual time point PET/CT, propose optimal delay scan time 131.5 minuts. The proposed delay scan time showed statistical reliability applicable to the diagnosis of pancreatic cancer (p<0.05). Delayed scanning with the suggested delay scan time of 131.5 minutes is considered to be useful for the diagnosis of pancreatic cancer compared to general PET / CT scan.hen the delayed test is performed with the proposed delay scan time 131.5 minuts, Compared with general PET/CT scans.

An effectiveness of multitransmit parallel technique on scan time reduction in hip joint MRI (고관절 자기공명영상 검사 시 multitransmit 기법의 적용에 따른 검사시간 단축의 유용성)

  • Choi, Kwan-Woo;Son, Soon-Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.3
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    • pp.103-108
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    • 2016
  • This study examined the effectiveness of the multitransmit parallel technique on the MRI scan time reduction by removing the dielectric effect. The T1 and T2 weighted images of the patients' hip joint were acquired with and without a multitransmit technique. The ROIs were located in the head of femur and iliopsoas muscle. The SNR, CNR and scan time were measured and compared. There was no difference in the images with and without multitransmit. In contrast, the acquisition time was decreased by 42.8% in T1WI and 49.7% in T2WI. In conclusion, this study demonstrated that significant scan time reductions can be accomplished without any differences in the image quality in hip joint MRI by applying the multitransmit parallel technique. Furthermore, the multitranstmit technique is useful in other body parts to resolve the long scan time of an MRI examination.

Patient Management Through Simulation Modeling in the Medical Center (시뮬레이션 기법을 이용한 검진센터의 환자관리방안)

  • Lim, Ji-Hye;Kang, Sung-Hong;Kim, Won-Joong
    • Journal of Digital Convergence
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    • v.10 no.4
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    • pp.287-295
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    • 2012
  • This study aims to develop the methods for effective patient flow in the medical center through simulation modeling. To achieve this, we developed three simulation scenarios based on max/min processing time and addition of X-ray by 15 patient tracks from real hospital data. The simulation software used in this study is Flexsim HC 2.7. According to the scenario 1 on 15 patient tracks' LOS by max processing time, there is a great difference between average length of stay(LOS) and max LOS. And average LOS increases greatly depending on the number of patients by the hours. There is no need to add extra X-ray because the addition of X-ray has not much influence in average LOS. It is possible to make good decisions on patient flow management and medical equipment purchasing through simulation modeling. The concrete simulation scenario as a tool for decision support will contribute to efficiency in hospital management.

The Variation of Scan Time According to Patient's Breast Size and Body Mass Index in Breast Sentinel lymphangiography (유방암의 감시림프절 검사에서 유방크기와 체질량지수에 따른 검사시간 변화)

  • Lee, Da-Young;Nam-Koong, Hyuk;Cho, Seok-Won;Oh, Shin-Hyun;Im, Han-Sang;Kim, Jae-Sam;Lee, Chang-Ho;Park, Hoon-Hee
    • The Korean Journal of Nuclear Medicine Technology
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    • v.16 no.2
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    • pp.62-67
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    • 2012
  • Purpose : At this time, the sentinel lymph node mapping using radioisotope and blue dye is preceded for breast cancer patient's sentinel lymph node biopsy. But all patients were applied the same protocol without consideration of physical specific character like the breast sizes and body mass indexes. The purpose of this study is search the optimized scan time in breast sentinel lymphangiography by observing how much the body mass index and breast size influence speed of lymphatic flow. Materials and Methods : The Object of this study was 100 breast cancer patients(Female, 100 persons, average age $50.34{\pm}10.26$ years old)at Severance hospital from October 2011 to December 2011. They were scanned breast sentinel lymphangiography before operation. This study was performed on Forte dual heads gamma camera (Philips Medical Systems, Nederland B.V.). All patients were intra-dermal injected $^{99m}Tc$-Phytate 18.5 MBq, 0.5 ml. For 80 patients, we have scanned without limitation of scan time until the lymphatic flow from the lymph node since injection. We measured how long the lymphatic flow time between departures from injects site and arrival to lymph node using stopwatch. After we calculated patient's Body mass Index and classified as 4 groups. And we measured patient's breast size and classified 3 groups. The modified breast lymphangiography that changing scan time according to comparison study's result was performed on 20 patients and was estimated. Results : The mean scan time as breast size was A group 2.48 minutes, B group 7.69 minutes, C group 10.43 minutes. The mean scan time as body mass index was under weight 1.35 minutes, normal weight 2.56 minutes, slightly over 5.62 minutes, over weighted 5.62 minutes. The success rate of modified breast lymphangiography was 85%. Conclusion : As the Body mass index became higher and breast size became bigger, the total scan time is increased. Based on the obtained information, we designed modified breast lymphangiography protocol. At the cases applying that protocol, most of sentinel lymph nodes were visualized as lymphatic pool. In conclusion, we found that the more success rate in modified protocol considering physical individuality than study carrying out in the same protocol.

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The Change of Total Scan Time in Accordance with the Time of the Decision of Scan Time (스캔 시간의 결정시기에 따른 총 스캔 시간 변화에 관한 연구)

  • Lee, Jong-Hun;Ryu, Jae-Kwang;Chung, Woo-Young
    • The Korean Journal of Nuclear Medicine Technology
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    • v.13 no.3
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    • pp.81-85
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    • 2009
  • Purpose: The examination of nuclear medicine observes the change in accordance with the time elapsed in the same region purposed and there are many examinations to acquire the image during the same term. At this time, the same parameter should be applied. The hepatobiliary scan, lung scan etc, are the acquired examination in the divided time with a regular term. Pre-set time that is applied in continued next image is set in order to acquire the fixed counts. The same scan time should be applied for each image. This study will look for the rational plan and analyze the change of scan time in accordance with the time of the decision of scan time at examination that pre-set time is applied. Methods: The hapatobiliary scan that use the radio pharmaceutical $^{99m}Tc$-mebrofenin is choosed as compensation from Jan. 2009 to Mar. 2009 in the department of nuclear medicine in ASAN MEDICAL CENTER. Scan is started after 5 minutes from when 222 MBq (6 mCi) is injected to patient. We let patient stand up between both detectors, and possibly close to the front of detector. When scan time reach 10%, 25%, 50%, 75% of total scan time, we measured the expected total scan time. After finishing all of scan, we compared the total scan time and the expected total scan time, while image is acquiring. and we observed the change of scan time in accordance with radio activity by using phantom. Results: After starting scan, a difference of when scan time reach 10%, 25%, 50%, 75% of total scan time is that the biggest difference is 5 seconds on 10%. There statistically is difference between 25% (t:2.88, p<0.01) and 50% (t:2.05, p<0.01). Conclusions: When the same the scan time is applied in the examination that acquire the many frame, concluding the same scan time has a important effect on a quantitative analysis. Although method that decide the scan time after finish all of the examinations, there is a few problem to apply practical affairs. This may cause an inaccurate result on the examination that need a quantitative analysis. We think that operator should try to improve it. At least, after reach 50% of total scan time, deciding the total scan time mean that you can minimize error of a quantitative analysis caused by unmatched scan time from a gap of image.

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Analysis of The Delayed Time in Patients with Acute Appendicitis (급성 충수 돌기염 환자의 대기시간 분석)

  • Park, Seung-Ik;Kim, Kwang-Beak
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • pp.889-892
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    • 2013
  • 본 논문에서는 급성 복증을 주소로 야간 응급실 내원 시 영상의학과 전문의 부재 등과 관련된, 급성 충수 돌기염 진단을 위한 복부 초음파 검사의 환자 대기 시간과 충수 돌기 절제술 시행까지 환자 대기 시간을 분석한다. 응급실 내원 환자 41.5%에서 초음파 검사 대기 시간은 10시간 이상으로 나타났고, 외래 내원 환자의 45.2%는 수술 대기 시간이 18시간 이상으로 나왔다. 이는 초음파 검사의 대기 시간이 수술 대기 시간에 영향을 미치는 것으로 카이제곱검증에서 유의하게 나왔다(p<0.05). 따라서 본 논문에서는 환자들의 대기 시간을 감소시키기 위한 방법으로 응급실 의료진의 초음파 검사 시행에 따른 유익성과 급성 충수 돌기염의 특징을 이용한 의료 영상 분석, 연구의 필요성을 제안한다.

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Taking Point Decision Mechanism of Page-level Incremental Checkpointing based on Cost Analysis of Process Execution Time (프로세스 수행 시간의 비용 분석에 기반을 둔 페이지 단위 점진적 검사점의 작성 시점 결정 기법)

  • Yi Sang-Ho;Heo Jun-Young;Hong Ji-Man
    • The KIPS Transactions:PartA
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    • v.13A no.4
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    • pp.289-294
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    • 2006
  • Checkpointing is an effective mechanism that allows a process to resume its execution that was discontinued by a system failure without having to restart from the beginning. Especially, page-level incremental checkpointing saves only the modified pages of a process to minimize the checkpointing overhead. This means that in incremental checkpointing, the time consumed for checkpointing varies according to the amount of modified pages. Thus, the efficient interval of checkpointing must be determined on run-time of the process. In this paper, we present an efficient and adaptive page-level incremental checkpointing facility that is based on the cost analysis of process execution time. In our simulation, results show that the proposed mechanism significantly reduced the average process execution time compared with existing fixed-interval-based page-level incremental checkpointing.

A Study on measurement blood velocity according to variable changing in magnetic resonance phase contrast image (자기공명 위상대조도 기법에서 병렬영상기법 변화에 따른 혈류정량 측정에 관한 연구)

  • Cho, yong-bum;Yang, seon-wook;Son, soon-yong
    • Proceedings of the Korea Contents Association Conference
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    • pp.107-108
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    • 2017
  • 3차원 위상대조도 기법의 단점인 긴 검사시간으로 인해 임상적 유용성이 떨어진다. 본 논문은 시간매개변수인 병렬영상기법(Grappa) 변경에 따른 혈류정보의 정량적 평가를 통해 차이점을 알아보고 임상적 활용정도를 평가하였다. 자체 제작한 혈류팬텀을 통해 실험하였으며, Grappa을 5번 변경하여 실험하였다. 연구결과, Grappa를 적용하지 않았을 경우 혈류속도는 평균 9.42로 총 4단계를 적용한 혈류속도 차이율은 각각(1.4, 1.5, 0.4, 1.5%)이었으며 flow와 WSS도 각각(1.4, 1.6, 0.8, 25%), (2.1, 1.4, 1.1, 0.8%)이었다. 통계적으로도 유의하지 않아 Grappa를 적용하지 않은 검사법과 혈류정보가 동일하였다.(P>0.05) 긴 검사 시간으로 인해 임상적 활용이 떨어지는 짧은 검사시간을 요하는 소아환자나 중등도 환자 또는 폐쇄공포증 환자에게 시간을 단축한 3차원 위상대조도 기법을 사용하여 단점을 보완한다면 임상적 활용가치가 높아질 것이라 사료된다.

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