Journal of the Korean Society of Radiology (한국방사선학회논문지)

The Korean Society of Radiology (한국방사선학회)
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Reducing Radiation Exposure During X-ray Imaging of Both Hip AP

엉덩관절 정면 검사 시 환자 피폭 감소

  • 신성규 (동아대학교병원 영상의학과) ;
  • 이효영 (동의대학교 방사선학과)
  • Received : 2016.06.13
  • Accepted : 2016.08.31
  • Published : 2016.08.31
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Abstract

This research has been conducted to investigate the method of reducing patients' radiation exposure during X-ray imaging of Both Hip Ap examination by removing the grid. When using the grid with 60 kV and a non-filter, the Entrance Surface Dose was 4.77 mGy, and the result was highest and 34 times higher than the lowest measurement when removing the grid with 90 kV, and 0.3 mmCu filter. Based on the ICRP Pub. 60 at the level of 70 kV, the Effective Dose of testis and ovary was 0.255 mSv when using the grid, and that result was approximately 5.2 times higher than the 0.049 mSv when removing the grid. Based on the ICRP Pub. 103 at the level of 70 kV, the Effective Dose of testis and ovary was 0.090 mSv when using the grid, and that result was approximately 4.5 times higher than the 0.020 mSv when removing the grid. When using the grid, the range of Exposure Index was 671 to 782, and when removing the grid, the range of Exposure Index was 513 to 606, and both results were at optimal exposure conditions and valid diagnostic imaging after evaluations. Therefore, removing the grid during X-ray imaging of Both Hip Ap will help reduce patients radiation exposure.

본 연구는 엉덩관절 정면 검사 시 격자 제거와 관전압, Cu Filter의 조합을 이용하여 환자의 피폭을 감소하고자 시행하였다. 엉덩관절 정면 검사법을 대상으로 격자의 사용과 제거 상태에 따라 각각 관전압을 60~90 kV로 변화시키고 Cu Filter를 0.1~0.3 mm로 추가시켜 입사선량, 유효선량을 측정하고 영상의 진단적 가치를 평가하였다. 격자를 사용하고 관전압 60 kV, none filter에서 입사선량은 4.77 mGy로 가장 높은 측정치를 나타냈고 격자를 사용하지 않고 90 kV, 0.3 mm Cu filter 조건에서의 입사선량은 0.14 mGy로 가장 낮았으며 약 34배의 차이를 나타냈다. ICRP Pub. 60을 기준으로 70 kV에서 고환, 난소의 유효선량은 격자를 사용 했을 경우 0.255 mSv, 격자를 제거하였을 경우에는 0.049 mSv로 약 5.2배의 차이를 나타냈다. ICRP Pub. 103을 기준으로 70 kV에서 고환, 난소의 유효선량은 격자를 사용했을 경우 0.090 mSv 격자를 제거하였을 경우에는 0.020 mSv로 약 4.5배의 차이를 나타냈다. 격자를 사용하였을 경우의 노광지수는 671~782, 격자를 제거하였을 경우에는 513~606 사이로 적정 노출조건이었으며 영상평가결과 모두 진단적 가치가 있는 영상으로 나타났다. 따라서 엉덩관절 정면 검사 시 격자를 제거하고 관전압을 높이고 Cu Filter를 추가시켜 촬영하면 환자의 피폭을 줄일 수 있을 것이다.

Keywords

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