The Journal of the Korea Contents Association (한국콘텐츠학회논문지)

The Korea Contents Association (한국콘텐츠학회)
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Digital Tomosynthesis Imaging of the Chest : Comparison of Patient Exposure Dose and Image Quality between Default Setting and Use Additional Filter

흉부 디지털토모영상의 기본모드 및 부가여과사용 시 환자선량과 화질비교

  • 김계선 (가천대학교 보건대학원 방사선학과/삼성서울병원 영상의학과) ;
  • 안성민 (가천대학교 보건대학원 방사선학과/가천대학교 방사선학과) ;
  • 김성철 (가천대학교 보건대학원 방사선학과/가천대학교 방사선학과)
  • Received : 2013.08.14
  • Accepted : 2013.09.09
  • Published : 2013.09.28
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Abstract

Chest digital tomosynthesis was the most advanced digital radiography technology, but it was higher patient dose than conventional chest radiography. Thus we tried to reduce a patient dose of chest digital tomosynthesis and evaluated its image quality. Result shows that radiation dose such as ESD, DAP and ED were 1.95 mGy, 17.66 $dGycm^2$ and 0.133 mSv respectively in default setting and 0.312 mGy, 2.27 $dGy.cm^2$ and 0.052 mSv in use additional filter, respectively. Doses were decrease 66.2%, 73.6% and 57.4% in ESD, DAP and ED, respectively. At the image quality assessment, overall sensitivities of use additional filter for nodule detection were not inferior to default mode for peripheral, central and peripheral micro nodules. However, sensitivity of low dose mode was significantly inferior to the default for central micro-nodules(p < .001).

흉부 디지털토모장치는 가장 발달한 촬영방법중의 하나이지만 일반 흉부촬영방법에 비해 환자의 피폭선량이 높다는 단점이 있다. 이런 이유 때문에 본 연구는 흉부 디지털토모영상에서 부가여과를 사용하여 환자선량을 저감시키는 방법을 검토하여 보았으며, 화질의 변화도 실험하였다. 그 결과 부가여과가 없는 장치의 기본상태에서 피부입사선량, 면적선량, 실효선량은 1.95 mGy, 17.66 $dGycm^2$, 0.133 mSv로, 부가여과사용시는 0.312 mGy, 2.27 $dGy.cm^2$, 0.052 mSv로 나타나 선량이 각 각 66.2%, 73.6%, 57.4%로 감소하였다. 화질에서 병소의 검출율은 중심부 미소병소 검출율(p < .001)을 제외한 나머지 주변부, 중심부병변 및 주변부 미소병소에서는 두 방법에서 큰 차이를 보이지 않았으며, 환자의 선량감소에는 큰 효과를 볼 수 있었다.

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