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A Study to Establish Target Exposure Index for Chest Radiography

흉부방사선검사의 목표노출지수 설정을 위한 연구

  • Hoi-Woun Jeong (Department of Radiological Science, Baekseok Culture University) ;
  • Jung-Whan Min (Department of Radiological Technology, Shingu University)
  • 정회원 (백석문화대학교 방사선과) ;
  • 민정환 (신구대학교 방사선학과)
  • Received : 2024.04.15
  • Accepted : 2024.05.10
  • Published : 2024.06.30

Abstract

This study purpose to establish an appropriate target exposure index(EIT) using dose area product(DAP) and exposure index(EI) based on chest radiography. First, the system response experiment was conducted with radiation quality of RQA5 to compare the dosimetry and dose area product of equipment. Next, EI and DAP were acquired and analyzed while varying the dose in the diagnostic at 70kVp using a human body model phantom. The signal to noise ratio(SNR) of the obtained results was analyzed in the diagnostic with in the diagnostic reference level(DRL) application range. The DRL at percentage 25% had a dose of 0.17 mGy and EI was 83, and at percentage 75% the dose was 0.68 mGy and EI was 344. As the dose increased, the SNR in the subdiaphragm increased. To set the EIT, calibration must first be performed using a dosimeter and set within the DRL range to reflect the needs of the medical institution.

Keywords

References

  1. Doi K. Diagnostic image over the last 50 years: Research and development in medical imaging science and technology. Phys Med Biol. 2006;51(13):R5. DOI: https://icrp.org/10.1088/0031-9155/51/13/R02 
  2. ICRP Publication 93. Managing patient dose in digital radiology; 2003. Retrieved from https://icrp.org/docs/P093_Korean_X.pdf 
  3. Seo DN, Jang SG, Kim JM, Sung DW, Kim HJ, Yoon YS, et al. A comparative assessment of entrance surface doses in analogue and digital radiography during common radiographic examinations. RadiatProt Dosimetry. 2014;158:22-7. DOI: 10.1093/rpd/nct189 
  4. Cohen MD, Cooper ML, Piersall K, Apgar BK. Quality assurance: Using the exposure index and the deviation index to monitor radiation exposure for portable chest radiographs in neonates. Pediatr Radiol. 2011;41:592-601. DOI: https://doi.org/10.1007/s00247-010-1951-9 
  5. IEC 60601-1-3, Ed 2.0. Medical electrical equipment - Part 1-3: General requirements for basic safety and essential performance - Collateral Standard: Radiation protection in diagnostic X-ray equipment. International Electrotechnical Commission; 2008. 
  6. IEC 62494-1, Ed 1.0. Medical electrical equipment-Exposure index of digital X-ray imaging system-Part 1: Definitions and requirements for general radiography. International Electrotechnical Commission; 2008. 
  7. Jeong HW, Min JW. A case study of application of exposure index in computed radiography by using human chest phantom. Journal of Radiological Science and Technology. 2018;41(6):533-8. DOI: https://doi.org/10.17946/JRST.2018.41.6.533 
  8. Jeong HW, Min JW. A study on quality control for medical image by using deviation index of digital radiology. Journal of Radiological Science and Technology. 2020;43(2):115-21. DOI: https://doi.org/10.17946/JRST.2020.43.2.115 
  9. ICRP Publication 60. Managing patient dose in digital radiology. International Commission on Radiological Protection; 1991. 
  10. ICRP Publication 135. Diagnostic reference levels in medical imaging. International Commission on Radiological Protection; 2017. 
  11. KCDC Medical Radiation Series No. 28. Guideline for diagnostic reference levels. Korea Centers for Disease control and Prevention; 2023. 
  12. Park HM, Yoon YS, Kim EH, Jeong HW, KIM JS, et al. A study on establishment of the optimal target exposure index for skull radiography based on diagnostic reference level. Journal of Radiological Science and Technology. 2012;35(2):109-17. DOI: http://dx.doi.org/10.17946/JRST.2021.44.6.599 
  13. Jeong HW, Min JW, Kim JM, et al. Performance characteristic of a CsI(Tl) flat panel detector radiography system. Journal of Radiological Science and Technology. 2012;35(2):109-17. Retrieved from http://ocean.kisti.re.kr/IS_mvpopo212L.do?method=list&poid=ksrs1&kojic=BSSGBL&sVnc=v35n2&sFree= 
  14. Han JB, Choi NG, Sung HJ. Comparative study of radiation exposure using entrance skin dose calculation technique in diagnostic X-ray radiography. The Journal of the Korea Contents Association. 2020;10(2):258-67. DOI: https://doi.org/10.5392/JKCA.2011.11.12.357 
  15. Kim KW, Min JW, Lyu KY, Kim JM, Jeong HW, Lee JA, et al. Comparison study on CNR and SNR of thoracic spine lateral radiography. J Radiol Sci Technol. 2013;36(4):273-80. Retrieved from https://koreascience.kr/article/JAKO201303536814176.pdf 
  16. IEC 61267, Ed 1.0. Medical diagnostic X-ray equipment radiation conditions for use in the determination of characteristics. International Electrotechnical Commission; 1994. 
  17. KFDA Radiation Safety Management Series No. 30. Guideline for diagnostic reference levels in general radiography. Korea Food & Drug Administration; 2012. 
  18. KCDC Medical Radiation Series No. 16. Guideline for diagnostic reference levels. Korea Centers for Disease control and Prevention; 2019. 
  19. Do KH. Development of the diagnostic reference level of general radiography: Twelve area including brain, chest, pelvis, etc. Korea Centers for Disease control and Prevention Research Report No.11-1352159-000916-01; 2017. 
  20. Seeram E. Digital radiography physical principles and quality control. 2nd edition. Berlin: Springer; 2019. DOI: https://doi.org/10.1007/978-981-13-3244-9