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트랜스포머 블록과 윤곽선 디코더를 활용한 딥러닝 기반의 피부 병변 분할 방법
김지훈,박경리,김해문,문영식 한국정보통신학회 2022 한국정보통신학회논문지 Vol.26 No.4
Specialists diagnose skin cancer using a dermatoscopy to detect skin cancer as early as possible, but it is difficult to determine accurate skin lesions because skin lesions have various shapes. Recently, the skin lesion segmentation method using deep learning, which has shown high performance, has a problem in segmenting skin lesions because the boundary between healthy skin and skin lesions is not clear. To solve these issues, the proposed method constructs a transformer block to effectively segment the skin lesion, and constructs an edge decoder for each layer of the network to segment the skin lesion in detail. Experiment results have shown that the proposed method achieves a performance improvement of 0.041 ~ 0.071 for Dic Coefficient and 0.062 ~ 0.112 for Jaccard Index, compared with the previous method. 전문의는 피부암을 조기에 발견하기 위해 피부경을 사용하여 진단하지만 다양한 형태로 인해 피부 병변을 판단하는 데 어려움이 있다. 최근 높은 성능을 보인 딥러닝을 이용한 피부 병변 분할 방법이 제안되었지만 피부와 피부 병변 경계가 명확하지 않아서 피부 병변을 분할하는 데 문제점이 있었다. 이러한 문제를 개선하기 위해 제안하는 방법은 효과적으로 피부 병변을 분할하기 위해 트랜스포머 블록을 구성하였으며, 네트워크의 각 계층마다 윤곽선 디코더를 구성하여 피부 병변을 자세히 분할하였다. 실험 결과, 제안하는 방법은 기존의 방법보다 Dice coefficient 기준 0.041 ~ 0.071, Jaccard Index 기준 0.067 ~ 0.112의 성능 향상을 보인다.
뇌졸중 환자의 상지기능, 일상생활활동, 치료적 몰입이 삶의 질에 미치는 영향
김지훈 한국디지털정책학회 2018 디지털융복합연구 Vol.16 No.12
The purpose of this study was to analyzed the correlation between upper extremity function, activities of daily living, quality of life and therapeutic flow in stroke clients and identify the factors influencing therapeutic flow. Total 249 stroke patients from 13 hospitals were measure at therapist and researcher for upper extremity function, activities of daily living, therapeutic flow and quality of life. Factors that affect the quality of life correlation as s result of positively correlated with upper extremity function(r=.312, p<.001), activities of daily living(r=.605, p<.001), therapeutic flow(r=.525, p<.001). And the effect on quality of life in stroke clients variables affecting therapeutic flow(β=.344, p<.001), activities of daily living(β=.293, p<.05) and Time since of onset(β=.145, p<.05) were the order of analysis. The regression model explained 35.9% of variances(F=35.736, p<.001). Therefore, it was found that therapeutic flow in stroke clients is an important factor for quality of life, future therapeutic flow study will continue to be needed. 본 연구의 목적은 뇌졸중 환자의 상지기능, 일상생활활동, 치료적 몰입과 삶의 질 간의 상관관계를 알아보고, 삶의 질에 영향을 미치는 요인을 파악하기 위함이다. 총 13개 병원에서 입원중인 뇌졸중 환자 249명을 대상으로 상지기능, 일상생활활동, 치료적 몰입과 삶의 질을 치료사와 연구자가 평가하였다. 그 결과, 뇌졸중 환자의 상지기능(r=.312, p<.001), 일상생활활동(r=.605, p<.001), 치료적 몰입(r=.525, p<.001)이 양의 상관관계를 나타내었다. 그리고 뇌졸중 환자의 삶의 질에 영향을 미치는 요인을 분석한 결과, 치료적 몰입(β=.344, p<.001), 일상생활활동(β=.293, p<.001), 발병기간(β=.145, p<.05)은 뇌졸중 환자의 삶의 질에 유의한 영향을 미치는 변수로 확인되었으며, 이들 요인은 삶의 질을 35.9% 설명하는 것으로 나타났다(F=35.736, p<.001). 이를 통하여 치료적 몰입은 삶의 질에 영향을 미치는 중요한 요인임을 확인할 수 있었으며, 향후 치료적 몰입에 대한 계속적인 연구가 요구된다.
김지훈,이기욱,라상준 대한신경과학회 2010 대한신경과학회지 Vol.28 No.3
The spectrum of neurological complications that occurs in the setting of HIV-1 infection includes AIDS-dementia complex, progressive multifocal leukoencephalopathy, brain lymphoma, toxoplasma encephalitis, and cryptococcal meningitis. We present a 36-year-old man with subacute multifocal neurologic signs who had a 3-year history of HIV-1infection and a year history of left optic neuritis. The clinical presentation, CSF findings, and neuroradiological features in our patient were compatible with multiple sclerosis (MS), and hence he represented a rare case of HIV-related MS-like illness.
김지훈,김선아,유은실,김송철 대한병리학회 2010 Journal of Pathology and Translational Medicine Vol.44 No.4
Background : Surgical resection is the treatment of choice of intraductal papillary mucinous neoplasm (IPMN) of the pancreas. However, the benefit of clearing resection margin is still controversial. Methods : We reviewed 281 surgically resected cases of IPMN. The recurrences were compared according to the histologic grade (benign or borderline IPMN, malignant noninvasive IPMN, invasive carcinoma) and size (pancreatic intraepithelial neoplasia, PanIN, less than 0.5 cm in the long axis; and IPMN, greater than or equal to 0.5 cm) of the residual lesions at the resection margin. Results : Sixty cases (21.4%) were invasive carcinoma, and 221 (78.6%) noninvasive cases included 87 (31.0%) benign, 107 (38.1%) borderline and 11 (3.9%) malignant noninvasive IPMN cases. In noninvasive IPMN, increased recurrence in patients with five or more years of follow-up was only related to the involvement of resection margin by severe dysplasia. The recurrence of invasive carcinoma was high (27.3%) even when the resection margin was clear, and was not related to the grade or size of residual tumors at the resection margin. Conclusions : Invasiveness is a strong risk factor for recurrence in IPMN regardless of the status of the resection margin. However, in noninvasive IPMN, histologic grading of residual lesions at the resection margin predicts local recurrence.