치매 증상의 진행 지연 및 관리비용의 절감을 위해서는 치매를 조기에 발견하여 관리하는 것이 중요하다. 이에 본 연구에서는 치매와 관련된 인지신경학적 손상을 측정할 수 있는 간단한 그...
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https://www.riss.kr/link?id=A106625295
2020
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치매 ; 치매 선별 ; 도형모사검사 ; 그림검사 ; 기계학습 ; 시계그리기 검사 ; Dementia ; Dementia Screening ; Figure-Copy Test ; Drawing Test ; Machine Learning ; MMSE-DS ; Clock Drawing Test
338
KCI등재
학술저널
325-340(16쪽)
0
0
상세조회0
다운로드국문 초록 (Abstract)
치매 증상의 진행 지연 및 관리비용의 절감을 위해서는 치매를 조기에 발견하여 관리하는 것이 중요하다. 이에 본 연구에서는 치매와 관련된 인지신경학적 손상을 측정할 수 있는 간단한 그...
치매 증상의 진행 지연 및 관리비용의 절감을 위해서는 치매를 조기에 발견하여 관리하는 것이 중요하다. 이에 본 연구에서는 치매와 관련된 인지신경학적 손상을 측정할 수 있는 간단한 그림검사인 도형모사검사를 개발하여, 치매 선별 가능성을 확인하고자 하였다. 또한, 도형모사검사의 이미지 데이터에 대한 기계학습을 통해 검사 채점의 자동화 가능성을 확인하고자 하였다. 이를 위해 270명의 일반 및 손상집단 참가자들에 대하여 도형모사검사, MMSE-DS, 그리고 시계그리기 검사를 수행하였다. 분석 결과, 도형모사검사의 점수는 높은 내적 일치도를 보였을 뿐만 아니라, 다른 두 검사 점수와 유의한 상관을 보여 검사의 타당성을 확인하였다. 세 검사의 치매 선별 정확도를 비교하기 위해 판별분석을 시행한 결과, 다른 두 검사와 비교했을 때 도형모사검사가 일반 및 손상 집단을 각각 90.8% 및 77.1%의 정확도로 예측하여, 집단에 대한 예측 수준이 상대적으로 더 높은 것으로 나타났다. 또한, 신경과 진단을 통한 임상결과를 통해, MMSE-DS를 통해 선별하지 못했던 치매 사례들을 도형모사검사를 이용하여 선별할 수 있음을 확인하였다. 마지막으로, 도형모사검사의 이미지 데이터를 이용한 기계학습을 수행한 결과, 73.70%의 정확률로 집단을 예측하는 것을 확인하였다. 본 연구는 기존에 사용되어 온 치매 선별 검사의 한계를 보완하여, 시행과 채점이 간편한 새로운 그림검사를 개발하였다는 점에서 의의를 지닌다.
다국어 초록 (Multilingual Abstract)
Early diagnosis and intervention of dementia is critical to minimize future risk and cost for patients and their families. The purpose of this study was to develop and validate Figure-Copy Test(FCT), as a new dementia screening test, that can measure ...
Early diagnosis and intervention of dementia is critical to minimize future risk and cost for patients and their families. The purpose of this study was to develop and validate Figure-Copy Test(FCT), as a new dementia screening test, that can measure neurological damage and cognitive impairment, and then to examine whether the grading precesses for screening can be automated through machine learning procedure by u sing FCT imag es. For this e nd, FCT, Korean v ersion of MMSE for Dementia S creening (MMSE-DS) a nd C lock D rawing Test were administrated to a total of 270 participants from normal and damaged elderly groups. Results demonstrated that FCT scores showed high internal constancy and significant correlation coefficients with the other two test scores. Discriminant analyses showed that the accuracy of c lassification for the normal and damag ed g roups using FCT were 90.8% and 77.1%, respectively, and these were relatively higher than the other two tests. Importantly, we identified that the participants whose MMSE-DS scores were higher than the cutoff but showed lower scores in FCT were successfully screened out through clinical diagnosis. Finally, machine learning using the FCT image data showed an accuracy of 73.70%. In conclusion, our results suggest that FCT, a newly developed drawing test, can be easily implemented for efficient dementia screening.
참고문헌 (Reference)
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1 한지원, "치매 선별용 간이정신상태검사(Mini-Mental State Examination for Dementia Screening;MMSE-DS)와 단축형 MMSE-DS(SMMSE-DS)의 한국 노인 정상규준 연구" 대한노인정신의학회 14 (14): 27-37, 2010
2 중앙치매센터, "대한민국 치매현황 2018" 중앙치매센터 2019
3 Prince, M., "World Alzheimer Report 2011: The benefits of early diagnosis and intervention" Alzheimer’s Disease International 2011
4 Cheryl L. Stopford, "Working memory, attention, and executive function in Alzheimer’s disease and frontotemporal dementia" Elsevier BV 48 (48): 429-446, 2012
5 Rhonda Q. Freeman, "Visuoconstructional problems in dementia: Contribution of executive systems functions." American Psychological Association (APA) 14 (14): 415-426, 2000
6 Giuliano Binetti, "Visual and spatial perception in the early phase of Alzheimer's disease." American Psychological Association (APA) 12 (12): 29-33, 1998
7 Nishiwaki, Y., "Validity of the Clock-Drawing Test as a Screening Tool for Cognitive Impairment in the Elderly" 160 (160): 797-807, 2004
8 Heidi Lee, "Use of the Clock Drawing Task in the Diagnosis of Mild and Very Mild Alzheimer's Disease" Cambridge University Press (CUP) 8 (8): 469-476, 1996
9 Edith Kaplan, "The process approach to neuropsychological assessment" Informa UK Limited 2 (2): 309-311, 1988
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단독가구 노인의 가족관계가 지역사회참여에 미치는 영향 : 성별차이를 중심으로
치과에서 시행되고 있는 시술 전 항혈전제 관련 처치에 대한 실태 파악
Andersen과 Newman의 행동모델을 적용한 경로당 이용 영향요인에 관한 연구 : 이용자 만족도 매개효과 분석
요양병원 간호사 및 간호조무사의 낙상예방활동 실천의 방해요인
학술지 이력
연월일 | 이력구분 | 이력상세 | 등재구분 |
---|---|---|---|
2026 | 평가예정 | 재인증평가 신청대상 (재인증) | |
2020-01-01 | 평가 | 등재학술지 유지 (재인증) | |
2017-01-01 | 평가 | 등재학술지 유지 (계속평가) | |
2013-01-01 | 평가 | 등재학술지 유지 (등재유지) | |
2010-01-01 | 평가 | 등재학술지 유지 (등재유지) | |
2008-01-01 | 평가 | 등재학술지 유지 (등재유지) | |
2006-01-01 | 평가 | 등재학술지 유지 (등재유지) | |
2003-01-01 | 평가 | 등재학술지 선정 (등재후보2차) | |
2002-01-01 | 평가 | 등재후보 1차 PASS (등재후보1차) | |
2000-07-01 | 평가 | 등재후보학술지 선정 (신규평가) |
학술지 인용정보
기준연도 | WOS-KCI 통합IF(2년) | KCIF(2년) | KCIF(3년) |
---|---|---|---|
2016 | 1.34 | 1.34 | 1.72 |
KCIF(4년) | KCIF(5년) | 중심성지수(3년) | 즉시성지수 |
1.84 | 2.08 | 2.242 | 0.19 |