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題名:運用臨床檢驗值建立判斷脂肪肝之類神經網路模型
書刊名:醫療資訊雜誌
作者:吳杰成許文定葉文俊李友專
作者(外文):Wu, Chieh ChenHsu, Wen DingYeh, Wen ChunLi, Yu Chuan
出版日期:2014
卷期:23:3
頁次:頁1-11
主題關鍵詞:脂肪肝類神經網路腹部超音波肝生化異常Fatty liver diseaseArtificial neural networkAbdominal ultrasonographyAbnormal liver biochemistry
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 點閱點閱:8
本研究主要是利用類神經網路建立模型,探討影響模型預測分析脂肪肝與肝生化異常的相關性,使用SPSS 20;t-test統計分析有、無脂肪肝參數差異,同時採用腹部超音波(Abdominal Ultrasonographic survey)作為診斷有無脂肪肝之依據,進行預測評估罹患脂肪肝。其中變項年齡(Age)、腹圍(Abdominal girdle)、三酸甘油脂(Triglyceride)、空腹血糖(Glucose AC)、血清麩氨基酸草醋酸轉氨基酵素(SGOT-AST)、血清麩丙酮酸轉氨基酵素(SGPT-ALT)(p<0.001)有顯著差異;而收縮壓(Systolic blood pressure)、舒張壓(Diastolic blood pressure)(P>0.05)無顯著差。運用類神經網路模型預測有無脂肪肝,所獲得結果測試組的特異度(specificity)90.0%,敏感度(sensitivity)86.4%, ROC area:0.919。訓練組加測試組的特異度(specificity)82.1%,敏感度(sensitivity)89.7%, ROC area: 0.907。此將有助於醫師判斷有無脂肪肝以及預防肝臟產生後續之病變,並可達到早期發現及早治療之目標。
In recent studies, fatty liver disease (FLD) has been shown to be closely related to the Biomarker, Abnormal liver biochemistry, Central Obesity, Dyslipidemia and Metabolic Syndrome. Especially for people who are obese, the chance of being diagnosed with fatty liver disease has been increased. Metabolic syndrome is a medical disorder which will increase the risk of cardiovascular disease and diabetic development. People who have large abdominal girdle are also in high risk of metabolic syndrome. This study is using the data of liver biochemistry, Utilized SPSS, and t-test to make a statistical analysis of parameters between fatty liver and non-fatty liver disease. The following variables which are selected based on the Age, Abdominal girdle, Triglyceride, Glucose AC, SGOT-AST, and SGPT-ALT. Although statistically, all of their P Values are shown less than 0.001, but, for systolic and diastolic blood pressure were both show P>0.05. Statistically show no significant difference. In this study, Artificial Neural Networks (ANNs) were applied to predict fatty liver disease. By using abdominal ultrasonography, for gold standard reference test, we found in testing group: 90.0% of specificity, 86.4% of sensitivity, ROC area 0,919; and in overall group: 82.1% of specificity, 89.7% of sensitivity, ROC area 0.907. The contribution of this study is to prevent the liver disease by early detection and treatment.
期刊論文
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7.Wanless, I. R.、Lentz, J. S.(1990)。Fatty liver hepatitis (steatohepatitis) and obesity: an autopsy study with analysis of risk factors。Hepatology,12,1106-1110。  new window
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11.王素真、洪耀釧、林耀三(201106)。影響民眾利用自費健康檢查之相關因素探討。工程科技與教育學刊,8(2),320-329。  延伸查詢new window
12.Hamaguchi, M.、Kojima, T.、Itoh, Y.、Harano, Y.、Fujii, K.、Nakajima, T.(2007)。The severity of ultrasonographic findings in nonalcoholic fatty liver disease reflects the metabolic syndrome and visceral fat accumulation。The American journal of gastroenterology,102,2708-2715。  new window
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15.Fiel, M. I.、Sima, H. R.、Desman, G.、Azarian, A.、Lento, P.、Schiano, T. D.(2013)。Increased thickness of abdominal subcutaneous adipose tissue occurs more frequently in steatohepatitis than in simple steatosis。Archives of pathology & laboratory medicine,137,642-646。  new window
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17.李俊宏、古清仁(20100300)。類神經網路與資料探勘技術在醫療診斷之應用研究。工程科技與教育學刊,7(1),154-169。  延伸查詢new window
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會議論文
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學位論文
1.王馥祁(2008)。台灣中部地區非酒精性脂肪肝患者PPAR-γ基因多型性之研究(碩士論文)。中山醫學大學。  延伸查詢new window
2.郭瑞祥(2011)。非酒精性脂肪肝之預測模型(碩士論文)。國立成功大學。  延伸查詢new window
3.蔡青美(2013)。應用資料探勘技術探究健檢資料庫非酒精性脂肪肝預測模式之研究(碩士論文)。國立中正大學。  延伸查詢new window
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圖書
1.何明志(2007)。寶貝肝臟。人生變不同。國立臺灣大學出版中心。  延伸查詢new window
 
 
 
 
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