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39. Uji Diagnostik Pemeriksaan Tulang Osteolitik Berbasis Intensitas Citra Digital (Diagnostic test of osteolytic bone examination based on digital image intensity)

Susilo - Nama Orang; Maesadji Tjokro Nagoro - Nama Orang; Kusminarto - Nama Orang; Wahyu Setia Budi - Nama Orang;

Background: The visual examination of bone radiographs using digital computed radiography (CR) is an examination for the diagnosis of bone-metastatic cancer. The subjectivity of interpretation of bone radiographs mcry lead to doctor's doubt in making decision to treatment patients with bone-metastatic cancer. Software Matlab-based computer application program makes a standard method to organize the results of bone radiographs. The objective of this study is to develop a software based on Matlab to analyze the diagnostic values, and to determine the optimal of cut off point to diagnose of osteolytic bone.
Method: The research es data are collectedfrom Department of Radiology ofthree hospitals i.e. Dr. Kariadi Hospital Semarang, Dr. Sardjito Hospital and Bethesda Hospital Yogyakarta. This research was carried out during four month from April to August 2009. Radiographs of osteolytic bone interpreted by radiologist were compared with PA examination result of the osteolytic bone which were viewed as the gold standard The steps in this study i.e. patients are classified as a normal or osteolytic bone patients based on the cut offpoint that had been determined, calculate the value of the diagnostic test using 2x2 tables, determined the area under the curve (AUC) by the procedure of receiver operating characteristic (ROC), and determined the optimal of cut offpoint.
Result: The results of study show that the diagnostic test for osteolytic bone by using Matlab-based software has sensitivity of o. 88, specificity of o. 891, positive expected value of 0.897, negative expected value of 0.950 and the cut off point at 0.93, while, the value of area under the curve (AUC) is 94% (95% CI: 89.7-98.3%), and the accuracy is 0.881 for the case of osteolytic bone.
Conclusion: Matlab-based software being usedfor diagnosing osteolytic bone has relatively high sensitivity and specijicity.
Keywords: Digital image, bone metastases, osteolytic, optimum cut offpoint


Ketersediaan
#
Belum memasukkan lokasi Media Medika Indonesiana, 46 (1) 2012 : 19-24
A0003404
Tersedia
Informasi Detail
Judul Seri
-
No. Panggil
Media Medika Indonesiana, 46 (1) 2012 : 19-24
Penerbit
Surabaya : FKG Universitas Airlangga Surabaya., 2012
Deskripsi Fisik
6p
Bahasa
ISBN/ISSN
0126-1762
Klasifikasi
-
Tipe Isi
-
Tipe Media
-
Tipe Pembawa
-
Edisi
-
Subjek
bone and bones
OSTEOLYSIS
Info Detail Spesifik
-
Pernyataan Tanggungjawab
-
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Perpustakaan dan Galeri Kebijakan Kesehatan BKPK merupakan pusat informasi dan referensi dalam bidang kebijakan pembangunan kesehatan di Indonesia. Sebagai bagian dari upaya mendukung pengambilan keputusan berbasis bukti, kami menyediakan berbagai koleksi literatur ilmiah, laporan kebijakan, jurnal, buku, serta sumber daya digital lainnya yang relevan dengan sektor kesehatan.

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