Artificial intelligence, has been applied in interpreting osteoporosis on dental panoramic radiograph with high accuracy. The purpose of this study was to investigate the sensitive area of convolutional neural network(CNN), one of artificial intelligence, in interpreting osteoporosis on dental panoramic radiograph. Dental panoramic radiographs taken from 1,170 female (49.19 ±21.91 average age, 21 minimum age, and 84 maximum age) were selected for this study. Two oral maxillofacial radiologists agreed upon interpreting osteoporosis by interpreting mandibular inferior cortical changes. The region of interest included upper and lower jaws for training and testing CNN in interpreting osteoporosis. A filter which was set to look for image characteristics moved through the entire panoramic radiography to identify sensitive areas that distinguish normal groups and osteoporosis patients. In interpreting osteoporosis on panoramic radiograph, CNN responded sensitively at the cancellous bone of the upper and lower jaws while oral maxillofacial radiologists interpreted mandibular inferior cortical change.
Central odontogenic fibroma(COF) is a very rare benign tumor that accounts for 0.1-1.5% of all odontogenic tumors. Most COF develop in the molar-premolar region in the mandible and anterior to the first molar in the maxilla. Radiographically, the lesions appear as a unilocular or multilocular radiolucent image. Some maxillary lesions have cleft like depression in the palatal mucosa are found. This report presents a COF with external root resorption and palatal soft tissue depression on CBCT images. A 27-year-old man referred for evaluation of unilocular radiolucent lesion with external root resorption in the right anterior maxillary region. On clinical examination, the right anterior maxillary teeth responded positive to the cold stimulus and its response to the vitality test remained within the normal range. On radiographic examination, osteolytic lesion with external root resorption and palatal mucosa depression as a radiolucent shadow. After excisional biopsy, the lesion was diagnosed as COF in histopathologic examination. There was no recurrence at a follow-up 10 months.
Menton (Me) deviation is commonly used for diagnosing facial asymmetry. This study compared angle and distance measurement in determining the severity of Me deviation for facial asymmetry diagnosis. Three-Dimensional Computed Tomographic(3D CT) images of 32 patients (mean age 22.5yrs, SD 3.4yrs; 16 male, 16 female) with facial asymmetry were selected for this study. Angle and distance of Me deviation in each patient were obtained and the severity of Me deviation was determined according to the angle and the distance measurement. The severity of Me deviation by angle and distance measurement was compared and statistical analysis was performed. Eight (25%) showed disagreement in severity of Me deviation between the two measurements. The kappa coefficient on the two measurements was 0.67, showing substantial agreement. It is suggested that both angle and distance measurement be performed in determining severity of Me deivation.
This study aimed to measure ramal lengths and angles on panoramic radiography applying a polar coordinate system for analyzing facial asymmetry within normal range. Panoramic radiographs taken from 15 males and 15 females (mean age 31.33±3.7 yrs in males and 28.87±2.72 yrs in females) with symmetric-looking faces were selected. The polar coordinate system, length of condylar and ramal height and angles between the ramus tangent and the connecting line of the most inferior point of bilateral orbital rim were measured from panoramic radiographic images. Bilateral differences in the ramal and condylar heights and angles were determined by asymmetric index. The polar coordinate applied for analyzing facial asymmetry uses length and angle measure. The normal range of facial asymmetry was measured using mean and standard deviation of asymmetry index of length and angle measure. A new analysis method using polar coordinate system on panoramic radiograph may provide more accurate analysis for facial asymmetry.
This study was conducted as part of a series of studies to introduce the Convolutional Neural Network(CNN) into the diagnostic field of osteoporosis. The purpose of this study was to compare the results when testing Digital Radiography(DR) and Computed Radiography(CR) panoramic radiographs by CNN that were trained by DR panoramic radiographs. The digital panoramic radiographs of females who visited for the purpose of diagnosis and treatment at Chonnam National University Dental Hospital were taken. Two Oral and Maxillofacial Radiologists were selected for the study to compare the panoramic radiographs with normal and osteoporosis images. Among them, 1068 panoramic radiographs of females{Mean [± standard deviation] age: 49.19 ± 21.91 years} obtained by DR method were used for training of CNN. 200 panoramic radiographs of females{Mean [± standard deviation] age: 63.95 ± 6.45 years} obtained by DR method and 202 panoramic radiographs of females{Mean [± standard deviation] age: 62.00 ± 6.86 years} obtained by CR method were used for testing of CNN. When the DR panoramic radiographs were tested, the Accuracy was 92.5%. When the CR panoramic radiographs were tested, the Accuracy was 76.2%. It can be seen that the CNN trained by DR panoramic radiographs is suitable to be tested with the same DR panoramic radiographs.
개(Canis lupus familiaris)는 인간의 소외 현상을 개선하고, 공동체 생활 의식 향상에 기여하는 반려동물이다. 반려견 품종을 명확히 관리하는 것은 유전병을 감소시키거나, 형질 개량, 종 다양성 유지 등을 위해 중요하다. 본 연구에서는 고밀도 SNP 칩 유전자형 데이터와 기계학습 기술을 이용하여, 유전자형 데이터에 기반한 품종 식별이 가능한지, 가능하다면 최소 몇 개의 유전마커로 품종 식별을 유의하게 수행할 수 있는지 확인하기 위하여, 반려견 11 품종 226두의 23K SNP 칩 데이터를 분석하였다. 9종의 기계학습 다중범주 분류 알고리즘과 2종의 특징 선택 방법의 성능을 비교하여, 선형 서포트 벡터 머신 분류기와 주성분 분석 특징 기여도를 이용한 특징 선택 방법을 이용했을 때, 11종의 반려견 품종을 90% 이상 정확도로 식별하였으며, 이 때 40개의 유전마커가 필요함을 확인하였다. 최종 선발 된 40개의 반려견 품종 식별 유전마커는 타 질병 예측 마커와 결합하여 유전자 검사 키트로 제작될 수 있으며, 반려견 품종 관리 및 질병 관리 기술로 유용하게 활용될 수 있을 것이다.
This study aimed to test a convolutional neural network (CNN) in two different settings of training and testing data. Panoramic radiographs were selected from 1170 female dental patients (mean age 49.19 ± 21.91 yr). The cortical bone of the mandible inferior border was evaluated for osteoporosis or normal condition on the panoramic radiographs. Among them, 586 patients (mean age 27.46 ± 6.73 yr) had normal condition, and osteoporosis was interpreted on 584 patients (mean age 71.00 ± 7.64 yr). Among them, one data set of 569 normal patients (mean age 26.61 ± 4.60 yr) and 502 osteoporosis patients (mean age 72.37 ± 7.10 yr) was used for training CNN, and the other data set of 17 normal patients (mean age 55.94 ± 4.0 yr) and 82 osteoporosis patients (mean age 62.60 ± 5.00 yr) for testing CNN in the first experiment, while the latter was used for training CNN and the former for testing CNN in the second experiment. The error rate was 15.15% in the first experiment and 5.14% in the second experiment. This study suggests that age-matched training data make more accurate testing results.
This study aimed to compare chin deviation in angle measurement on posteroanterior(PA) cephalogram and computed tomography (CT). Chin deviation was assessed as menton(Me) deviation in angle measurement on PA cephalogram and CT images of 35 patients who had orthognathic surgery (19 male and 16 female with average age of 22.1±3.33yr). The difference between the Me deviation was calculated and statistical analysis was performed to compare the deviation direction and asymmetry severity on the two imaging modalities. There was statistically significant difference in the difference of Me deviation between PA cephalogram and CT by one-simple t-test (p<.05). The mean difference of Me deviation was 2.21°± 1.84°. The maximum difference of Me deviation was 8.64°. There were statistical agreements in the deviation direction (k =0.82, p<.05) and in the severity of facial asymmetry (k =0.37, p<.05). The difference of the deviation direction was detected in 2 patients (5.71 %). The difference of the severity of facial asymmetry was in 15 patients (42.86%). The chin deviation in angle measurement might be different between PA cephalogram and CT in some patients.
This study aimed to compare the mandible inferior cortical bone thickness before and after orthognathic surgery on panoramic radiographs. Among 1092 orthognathic surgery patients, 37(12male, 25 female, average age 23.8 yrs± 4.4) were selected who underwent mandible inferior cortex contouring. The total mandible sides which underwent inferior cortex contouring were 62. The mandible inferior cortical bone thickness was measured below the mesial root of the first molar tooth. The mandible inferior cortical bone thickness was 3.49mm± 0.6mm before orthognathis surgery and 1.92 mm± 0.88 mm after surgery, with statistically significant difference between the two(p<.05). The mean contouring amount was 1.57 mm± 0.8 mm. Mandible inferior cortex contouring are often included in orthognathic surgery.
The purpose of this study is to evaluate the clinical and radiographic features of Bisphosphonate-related osteonecrosis of the jaws(BRONJ). The clinical and radiographic features of 27 patients diagnosed with BRONJ from 2008 to 2012 were evaluated on the basis of the charts and panoramic radiographs and cone beam computed tomographs. As for clinical features, the following contents were evaluated; type of dental treatments before occurrence of BRONJ, the cause of taking bisphosphonate medicine, undergoing dental treatment, interval between dental treatments and symptom expression. As for radiological features, location of BRONJ, size of bone destructions and sclerosing of the surrounding bone, locational relationship between mandibular canal and inferior border of bone destruction, and effect on the maxillary sinus. In clinical features, extraction was done in 18 patients(66.7%), as the most common dental treatment before occurrence of BRONJ. The most common cause of taking bisphosphonate medicine was osteoporosis(20 pateints, 70.4%). The patients treated during bisphosphonate administration was 17(63.0%). The interval between dental treatments and symptom in the most patients(14 patients, 51.8%) was within 1 month. In radiological features, sequestrum was seen in 11 patients(40.7%) and bony sclerosing in 15(55.6%). The mean width of sclerosing was 32.9±12.4mm and mean height 17.5±4.4mm. Bone destruction invaded to inferior border of mandibular canal in 88.2%(15 among 17 mandibles),. Maxillary sinusitis was diagnosed in 57.1% among the evaluated maxillae(4 among 11 maxillae). In diagnosing BRONJ, clinicians should be cautious about medical history of patients and have well-knowledge of radiographic features.
The maxillofacial region is susceptible to damage because facial bone is prominent. The aim of this study is to evaluate the incidence, etiology, seasonal distribution, and patterns of maxillofacial injuries and investigate the percentage of bone fractures on CT scans by patient’s gender and age. Electronic medical records of 1,483 patients who had maxillofacial injuries and visited the Emergency Medical Center of Chonnam National Hospital were evaluated. Age, gender, etiology, seasonal occurrence, frequency of fracture, and the pattern of bone fracture were analyzed by using IBM SPSS Statistics 21 (SPSS Inc., Chicago, IL, USA). Male to female ratio was 2.82:1. The most common causes of injury were falls or collisions (male 40.09%, female 48.2%), followed by traffic accidents and violence. The number of injuries related to sporting accidents, assult, and industrial accidents was higher in male patients than that of female patients. With regard to the seasonal occurrence, 434 cases (29.26%) occurred in the summer, while 306 cases (20.63%) occurred in the winter. In this study, 946 patients (63.79%) were identified to have facture and 537 patients (36.21%) were found to be without fracture on CT scans. The orbital bone (41.38%) was the most commonly fractured in the mid facial structures. The most common fracture site in the mandible was the body of the mandible (23.13%). The patterns of maxillofacial injuries were various based on gender, age, cause of injury, and season.
This study aimed to investigate the association between carotid artery calcification (CAC) on panoramic radiograph and intima-media thickeness (IMT) measured on ultrasound. Panoramic radiographs which were taken from dental patients aged 50 years and older who visited for dental treatment were screened for the presence of CAC. The study group was composed of seven patients (four males and three females, average age 74.4±4.2 yrs) with CAC detected on panoramic radiographs, and the control group eleven patients (seven males and four females, average age 64.5±10.1 yrs) without CAC. All the patients underwent carotid ultrasonography to measure carotid IMT. The IMT was compared between the groups by nonparametric analysis of covariance (ANCOVA). The range of IMT of the study group was 1.10~2.0 mm, while that of the control group 0.60~1.10 mm. The mean of IMT was 1.50±0.34 mm in the study group and 0.85±0.14 mm in the control group, and there was statistically significant difference between the two groups (p<.01). In conclusion, CAC detected on panoramic radiograph might have an association with atherosclerosis
다양한 형태의 Polysulfone 막을 MBR공정에 적용하기 위해 제조하였다. 특히 제조공정에 있어서 여러 형태의 에테르형 알코올을 사용 도프용액에 첨가시킴으로써, 공경크기에 미치는 영향력을 조사하였다. 본 연구에서는 공경의 크기는 첨가된 첨가제의 끓는점에 의한 영향력보다는 그들 자체(첨가된 첨가제)의 분자구조에 의한 확산에 더 큰 영향력을 받고 있음을 보여주었다. 분자적으로 methoxy (CH3-O-) < secondary propanol (-CH2-CH(OH)-CH3) < ethoxy (CH3-CH2-O-)의 순으로 공경크기가 커지고 그에 따라 순수투과도 또한 커짐을 보여주었다. 이러한 현상은 첨가된 용매가 분자적으로 ether형 알코올의 bulky한 정도에 따라 공경의 형성이 다른 형태로 나타나고 있음을 보여주고 있다. 본 연구에서는 다양한 형태의 ether형 alcohol를 통하여 바라고자하는 형태(평균 pore size 0.1~0.4 μm)의 MF (microfiltration)막을 제조할 수 있었으며, MBR (membrane bio-reactor)에 적용한 결과 2달 동안 안정되게 운전되었다.
Candida albicans and their associated Candida species are opportunistic pathogens which exists as normal flora in the oral cavities of healthy individuals. In response to physiological changes in the host, these yeasts can become pathogenic, resulting in oral candidiasis. The rapid detection and identification of Candida species in clinical laboratories are extremely important for the management of patients with hematogenous candidiasis. The presently available culture and biochemical methods for detection and species identification of Candida are time-consuming and lack the required sensitivity and specificity. In this study, we have established a seminested PCR (snPCR) using universal and species-specific primers for detection of Candida species in saliva. The universal outer primers amplified the 3end of 5.8S ribosomal DNA (rDNA) and the 5end of 28S rDNA, including the internally transcribed spacer 2 (ITS2), generating 350- to 410-bp fragments from the four commonly encountered Candida spp., viz., C. albicans, C. tropicalis, C. glabrata, and C. parapsilosis. The saliva from 331 healthy and, over 50 years of aged people lived in Dong-gu, Gwangu city, was collected. Total DNA were extracted by Hoffman-Winston yeast total DNA prep. method and performed t he s nP CR. R esults appeared to b e negative on 292 people ( 88.2%), however, 2 6 people ( 7.9%) were p ositive Candida albicans, 6 people (1.8%) were positive Candida glabrata, 5 people (1.5%) were positive Candida tropicalis, and only 2 person (0.6%) were positive Candida parapsilosis. These result showed that detection and identification of Candida species could be established by saliva analysis, so that snPCR on saliva is useful method of diagnosis of clinical fields
아크릴폐수를 광촉매로 전처리하여 막오염인자를 최소화한 후 막조합공정에 적용하였다. 한외여과막과 정밀여과막을 역삼투막과 조합을 이루어 막조합공정을 구성하였으며 광촉매처리수를 온도 및 압력변화에 따라 막조합공정에 적용하여 분리특성을 확인하였다. 정밀여과막 모듈 혹은 한외여과막 모듈의 투과수는 역삼투모듈로 보내지며 역삼투 모듈의 최종적인 투과량은 모듈 set 2 (MWCO 200,000 UF+RO)의 역삼투 모듈이 우수하였다. UF 및 MF 모듈에서 TDS, T-N 및 COD의 제거효율은 온도 및 압력변화에 영향을 받지 않고 제거효율 또한 낮음을 알 수 있었다. 그러한 결과로 RO 모듈에서 TDS, T-N 및 COD가 우수한 제거효율을 보였다. UF 및 MF모듈에서의 탁도 제거효율은 우수한 경향(제거효율 99% 이상)을 보였다. 막조합공정에서 처리된 광촉매처리수는 배출 허용기준치를 충족하고, 재활용이 가능하였다.
아크릴 폐수를 응집-여과-중화의 전처리 공정에 적용하여 막오염 인자를 최소화 한 후 UF/RO 공정에 적용하였다. 막의 형태 및 종류에 따라 한외여과 및 역삼투 모듈을 조합을 이루어 전처리 수를 온도 및 압력변화에 따라 적용하여 분리 특성을 고찰하였다. 투과 플럭스는 모듈 set 1의 UF모듈보다 모듈 set 4의 UF모듈의 투과량이 약 2~3배 더 많이 배출됨을 확인하였다. 최종적인 투과량은 관형모듈과 조합을 이룬 모듈 set 2와 모듈 set 3이 좋은 결과를 나타내었다. 모든 UF 모듈에서 TDS, T-N 및 COD의 제거 효율은 온도 및 압력변화에 영향을 받지 않고 제거 효율 또한 낮음을 알 수 있었다. RO모듈에서 TDS, T-N 및 COD가 우수한 제거 효율을 보였다. 아크릴 폐수의 최종적인 수질결과는 공장폐수의 배출 허용기준을 만족하였고, 막모듈 조합은 폐수의 재활용 가능성을 확인할 수 있었다.
60년대와 70년대의 녹색혁명은 전통적인 육종의 성과이지만, 최근의 육종기술은 유용유전자의 유전자형을 활용한 분자표지 마커를 활용하고 있다. 목적 형질을 갖고 있는 계통을 선발하는 MAS(Marker assisted selection) 마커는 많은 육종가들에 의해 활용되고 있지만, 유전자의 SNP(Single nucleotide polymorphism)을 활용한 MAB(Marker assisted backcross) 마커는 거의 활용되고 있지 않다. SNP 마커는 단 하나의 염기서열의 차이를 구별할 수 있어, 유전적으로 매우 가까운 계통들도 구분할 수 있으며, 자동화 분석이 가능하다는 점에서 활용도가 높다. 솔젠트(주)에서는 내수 및 종자수출에서 차지하는 산업적 비중이 가장 큰 채소작물 중 고추 병저항성 관련 유전자를 활용한 multiplex 고추병 진단 제품을 개발했다. 이 제품에는 오이모자이크바이러스(CMV), 담배 etch 바이러스(TEV), 토마토반점위조바이러스(TSWV), 토바모바이러스(TMV), 세균성점무늬병(BS), Chilli venial mottle virus(ChiVMV), 고추역병에 관련된 저항성 유전자의 SNP을 활용해 개발했으며, 본 제품을 활용해 고추 육종가들이 쉽고 간편하게 육종 소재에 적용해 신품종 육종에 도움을 줄 것으로 기대한다.