As the use of digital radiographic system has been expanded, there are some concerns an increase about in patient of radiation dose. Therefore, International Electro-technical Commission (IEC) has been proposed a standard foe exposure index (EI). In this study, the EI was measured on human chest model using computed radiography (CR). Radiation quality used RQA5 of IEC62494-1. After acquiring the chest anterior posterior image (Chest AP) by using the phantom, the EI was obtained by applying the system response. In this study, we have analyzed the images with the detector size (Full filed ROI) and the optimized image (Fit filed ROI). The EI increased proportionally with radiation dose increase. Due to the discrete increase in pixel value, the EI showed an exponential increase. The discrete increase in noise equivalent quanta (NEQ) resulted in a discrete increase in the EI. The EI of the two images used in this study increased with increasing NEQ but showed different increments. For the measurement of the EI, IEC standards must be followed. The EI should be used as an index to evaluate the image quality for quality control of X-ray image rather than as an indicator of exposure dose. When calculating the EI, the system response should be applied depending on whether or not the grid is used. The size of the field should be obtained by including only the necessary parts.

Telometer is a supplementary filming device that improves the image quality and minimizes the motion unsharpness by enhancing the reproducibility of diagnostic images because it applies constant pressure (force) to the affected area. The stress-radiogram which is widely used to provide the o-bjective quantitative stability of knee ligament is reported in literature as the most suitable method to evaluate the stability of ligament and it is advised to use the Telometer. In order to evaluate the image reproducibility of the Telometer, the collateral ligament which is the most vulnerable among the ligaments consisting of the knee joint, the stress-radiogram was executed in the order of the Telometer, the push pull gauge and the conventional stress radiogram. Then, SPSS (Statistical Package for the Social Science) for Windows 22.0 was used for comparison and evaluation. According to the results of comparison and evaluation, the standard errors and standard deviations became smaller in the order of the Telometer, the push pull gauge, the conventional stress radiogram while the image reproducibility was higher in the order of the Telometer, the push pull gauge, the conventional stress radiogram. Therefore, it is considered that the use of the TELOS for stress-radiogram would enhance the quality of patient diagnostic images and the work performance of radiologists.

The purpose of this study was evaluated the relationship between echocardiography and cardiac computed tomography in normal adults by visual assessment, and evaluated the effective doses of cardiac computed tomography. The subjects were 100 normal patients who visited two general hospitals in Chungnam, from January 1 to May 30, 2018. We obtained images by using these modalities and evaluated the wall thickness and internal dimension of the Left Ventricle with visual assessment. To evaluate the appropriateness of the visual evaluation, two evaluators who were trained for one week were measured and the agreement between the evaluators were verified by statistical analysis. The effective doses of computed tomography were evaluated using the dose length product. As a result, there was a high correlation between the two modalities. The agreement between the two visual evaluator were also highly agreed. The mean X-ray dose of the subjects was $11.1{\pm}3.1mSv$. Although the purpose of imaging is somewhat different in the clinical setting, echocardiography could achieve the same results as radiation-invasive computed tomography. It is thought that utilization will become even larger.

PET-CT and PET-MRI which integrates CT using ionized radiation and MRI using phenomena of magnetic resonance are determined to have the limitation to apply the semi-quantitative index, standardized uptake value (SUV), with the same level due to the fundamental differences of image capturing principle and reorganization, hence, their correlations were analyzed to provide their clinical information. To 30 study subjects maintaining pre-treatment, $^{18}F-FDG$ (5.18 MBq/㎏) was injected and they were scanned continuously without delaying time using $Biograph^{TM}$ mMR 3T (Siemens, Munich) and Biograph mCT 64 (Siemens, Germany), which is an integral type, under the optimized condition except the structural differences of both scanners. Upon the measurement results of $SUV_{max}$ setting volume region of interest with evenly distributed radioactive pharmaceuticals by captured images, $SUV_{max}$ mean values of PET-CT and PET-MRI were $2.94{\pm}0.55$ and $2.45{\pm}0.52$, respectively, and the value of PET-MRI was measured lower by $-20.85{\pm}7.26%$ than that of PET-CT. Also, there was a statistically significant difference in SUVs between two scanners (P<0.001), hence, SUV of PET-CT and PET-MRI cannot express the clinical meanings in the same level. Therefore, in case of the patients who undergo cross follow-up tests with PET-CT and PET-MRI, diagnostic information should be analyzed considering the conditions of SUV differences in both scanners.

Field-in-Field Technique is applied to the radiation therapy of breast cancer patients, and it is possible to compensate the difference in breast thickness and deliver uniform dose in the breast. However, there are several fields in the treatment field that result in a more complex dose delivery than a single field dose delivery. If the patient's respiration is irregular during the delivery of the dose by several fields and the change of respiration occurs, the dose distribution in the breast changes. Therefore, based on the computed tomography images of breast cancer patients, a human model was created by using a 3D printer (Builder Extreme 1000) to describe the volume in the same manner. A computerized tomography (CT) of the human body model was performed and a treatment plan of 260 cGy / fx was established using a 6-MV field-in-field technique using a computerized treatment planning system (Eclipse 13.6, Varian, USA). The distribution of the dose in the breast according to the change of the respiration was measured using a moving phantom at 0.1 cm, 0.3 cm, 0.5 cm amplitude, using a MOSOXIDE Silicon Field Effect Transistor (MOSFET, Best Medical, Canada) Were measured and compared. The distribution of dose in the breast according to the change of respiration showed similar value within ${\pm}2%$ in the movement up to 0.3 cm compared to the treatment plan. In this experiment, we found that the dose distribution in the breast due to the change of respiration when the change of respiration was increased was not much different from the treatment plan.

Radiation therapy is one of the beneficial choices in the treatment of cancer. This is a comparison of TPS(Treatment Planning System) and GEANT4-DICOM, which should be preceded by the best radiation therapy. A treatment plan for prostate cancer was established with Eclipse and the point doses 366.1 cGy, 189.1 cGy, 213.4 cGy, 127 cGy, 105.7 cGy of any five prostate, bladder, rectum, right femoral head and left femoral head were identified. GEANT4-DICOM simulation showed that the results of Eclipse and ${\pm}2%$ dose error were confirmed. The monthly X-ray output agreement management value recommended by TG-142 is ${\pm}2%$, which means that the experimental results can be meaningful. In conclusion, GEANT4-DICOM is an infinite way to obtain more extended dose information once the time constraints are overcome in the simulation.

The Nuclear Safety Commission amended the Nuclear Safety Act by strengthening the safety management system for the frequent workers to the level of radiation workers. And students entering radiation management zones for testing and practical purposes are subject to frequent workers. It is inevitable that this will incur additional costs. In this paper, the validity of the amendment to the Nuclear Safety Act was to be assessed in terms of radiation protection. Study subjects are from 2014 to 2016, among university students in Seong-nam Korea and comparisons for analyses were made taking into account variables that are differences in annual, practical types, on-class and clinical practice students exposure dose. The analysis showed that exposures between on-class and clinical practice received were less than the annual dose limit of 1 mSv for the public. Then, some alternatives that excluding from frequent workers during on-class practice or mitigating the frequent workers' safety regulation for only on-class frequent workers can be considered. Optimization is how rational is the reduction in exposure dose to the costs required. Therefore, the results are hardly considered for optimization. If the data accumulated, it could be considered that the revision of the act could be evaluated and improved.

This study was conducted to analyze factors Influencing Protective Behavior against Radiation Exposure using questionnaires for 231 radiological technologists working in Computed Tomography(CT) examination room with high radiation dose in diagnostic radiology field. Statistical analysis of the collected data revealed that the reasons for partially shielding the examination part in the CT scan were the lack of protective equipment, securing of radiation justification, being annoying and maybe not being harm to adults in order. It was also revealed that the variables influencing the protective behavior were protective behavior against radiation harm, self-efficacy, protective environment, organization culture, protective knowledge and protective instrument in order. The higher the radiological protective environment(${\beta}=0.245$) and the lower the radiological protective knowledge(${\beta}=-0.034$), the more influential the protective behavior against radiation harm was. In this study, it was shown that non examination parts were not shielded in the CT scan. Therefore, it is necessary to improve the level of protective environment, to cultivate knowledge to improve the protective behavior against radiation harm and to have an intervention strategy for concrete action.

The purpose of this study was to develop the indirect dosimetry by calculation (IDC) method for diagnostic X-ray equipment. The experiments were performed with inverter type X-ray tubes: Toshiba (E7252X, Japan) and Varian (RAD-14, USA). For the development method, we first applied the standard quality of X-ray beam shown in the TRS457 document, and second, to produce the constants of trendline for the IDC, the total filtration on X-ray beam was subdivided. Third, in order to increase the precision, the energy region was divided into the high energy region and the low energy region and developed by the IDC. In order to verify the IDC, mean dose (mR) values were measured for three Toshiba X-ray tubes and three Varian X-ray tubes at clinical medical institutions and then compared with the IDC on the 2013. As a result, compared with the previous study, the accuracy of the IDC of this study were improved by 2.71% and 9.91% in Toshiba and Varian X-ray tubes, respectively.

Quality control (QC) of Computed Tomography (CT) devices is based on image quality measurement on AAPM CT phantom which is a standard phantom. Although it is possible to control the accuracy of the CT apparatus, it is expensive and has a disadvantage of low penetration rate. Therefore, in this study, we make image quality measurement phantom at low cost using FFF (Fused Filament Fabrication) type three-dimensional printer and try to analyze the usefulness, compare it with existing standard phantom. To print a phantom, We used three-dimensional printer of the FFF system and PLA (Poly Lactic Acid, density: $1.24g/cm^3$) filament, and the CT device of 64 MDCT (Aquilion CX, Toshiba, Japan). In addition, we printed a phantom using three-dimensional printer after design using various tool based on existing standard phantom. For image quality evaluation, AAPM CT phantom and self-generated phantom were measured 10 times for each block. The measured data were analyzed for significance using the Mannwhiteney U-test of SPSS (Version 22.0, SPSS, Chicago, IL, USA). As a result of the analysis, phantom fabricated with three-dimensional printer and standard phantom showed no significant difference (p>0.05). Furthermore, we confirmed that image quality measurement performance of a phantom using three-dimensional printer is similar to the existing standard phantom. In conclusion, we confirmed the possibility of low cost phantom fabrication using three dimensional printer.

This study examined the following: accuracy of the exposure conditions in the inverter device and three-phase device; output waveform over the exposure conditions; and average and standard deviation of the output waveform. After assessing whether the dose corresponding to the theoretical dose was presented, the following conclusions were obtained: 1. The accuracy of the tube voltage(kVp) and tube current(mA) exposure time(sec) was within the tolerable level prescribed in Korea's Safety Management Standards. In the error, Inverter device was large the tube voltage and exposure time, the three-phase device was large the tube current. 2. In terms of the output waveform of the exposure conditions and the average and standard deviation of the output waveform, the higher tube voltage and larger tube current resulted in greater standard deviation in pulsation. Moreover, the standard deviation of pulsation was shown to be greater in the inverter device than the three-phase device; there was also greater standard deviation in the inverter device considering the exposure time. 3. Regarding the exposure conditions over the output dose, all linearity showed the coefficient of variation which had an allowable limit of error within 0.05. Although the output dose ratio for the inverter device was 1.00~1.10 times no difference that of the three-phase device, there was almost no difference in dose ratio between the tube currents.

Lead apron is harmful to the human body because it is made at heavy metals, and when worn for long periods of time, it causes pain. Therefore, this paper intended to improve the defects of lead apron by using new material shields. For the comparative evaluation of lead and new material shieldes, the shielding rate and weight were measured and tested based on lead 0.5 mmPb. The rate of shielding was 97% based on lead at 0.5 mm thickness, while The new material shield T3 showed similar shielding rates as lead in 8 layers, and in T2 these values were measured in 11 layers. In addition, similar shielding rate was measured in 12 layers at B2, and 8 layers in BF, and 4 layers in $BF_2$. Comparing the weight of cases when commercialized with apron, T3, T2 and B2 were heavier than lead apron. But BF, $BF_2$ were lighter than the lead apron. Based on the results of the experiment, T3 and T2 can be used as an alternative to lead if human or environmental hazards are considered a priority. However, BF and $BF_2$ should be used if the reduction of external exposure is considered a priority.

This study aims to provide the basic data helpful for the improvement of rights and interests of radiological technologists, by understanding the current working environment and if they get the proper reward through the analysis on the perception of appropriateness of current wage and job satisfaction of radiological technologists. Survey was conducted to evaluate the perception of satisfaction with job and wage system, work intensity, necessity of the radiological technologist limit system, and turnover in accordance. The appropriate starting salary was low in case of women and non-capital area, and when the age, academic background, career, and hospital size were lower. The appropriate wage was low in case of women and non-capital area, and when the academic background and hospital size were lower. The negative perception of the necessity to change the wage system was shown in university hospitals. Regarding the work intensity, in case of women and low career, and when the age, academic background, and hospital size were higher, the work intensity was perceived as high. When the academic degree and hospital size were lower, the positive perception of the radiological technologist limit was shown. The turnover intention was high in case of women, and when the age, academic background, career, and hospital size were lower. In order to increase the job satisfaction of radiological technologists, it would be necessary to the appropriate reward and the environment where they could concentrate on work.

The purpose of this study was to compare the job stress, job satisfaction, turnover intention, and job performance feelings of radiological technologists, physical therapists, and medical laboratory technologists working at university hospitals and general hospitals. The subjects were 114 general practitioners and 217 university hospital workers who are engaged in occupations of radiological technologists, physical therapists, and medical laboratory technologists in the age groups 20-50 years living in Incheon Metropolitan City. Data collection was conducted from April 1, 2017 to April 30, and data analysis was performed using the SPSS/WIN 23 statistical program. There were statistically significant difference in the job stress of medical technician by age, marriage, occupation, hospital size, position, parenting form, employment type, and lunch break. Job stress by occupation was highest in medical laboratory technologists, followed by radiological technologists and physical therapists. Job satisfaction was the highest among physical therapists. followed by radiological technologists and medical laboratory technologists. There were significant differences in age, occupation, parenting form, type of employment, and lunch break according to demographic characteristics. In order to reduce the job stress and job satisfaction of the medical technician working at the hospital, the development of the job environment should be sought and the hospital should also be removed from the authoritarian management system.

To compare of body composition and backmusclestrength between physical activity group (PAG) and non-physical activity group (Non-PAG). From Jun 14 to July 13 2018, 66 students were divided into PAG (male 20, female 13) and Non-PAG (male 18, female 15) from questionnaires for general characteristics and activity. All participants were measured body composition (Inbody 720, Biospace, Korea) and backmusclestrength (T.K.K. 5402, TAKEI, Japan) after obtaining written informed consent. Statistical analysis was performed by independent t-test and cross-sectional test using SPSS ver. 19.0 (USA). Sex and body mass index were not significant difference between two groups. Exercise was significant difference between PAG and Non-PAG(100% vs. 45.5%, p<0.001), especially running and push-up, sit-up(p<0.001). Body composition was no significant difference between PAG and Non-PAG (p>0.05). Backmusclestrength was significantly higher in PAG than that in N on-PAG (p<0.01). It is suggested that exercise affects to Backmusclestrength.

Recently, together with advancement of domestic aviation industry, overseas tourists using planes have been soared. This study aimed to investigate the risk of diseases for the passengers and flight attendants from the exposed cosmic radiation during the flight by domestic and international literature reviews, as follows. Airliners should develop the program to measure the actual radiation dose and prepare the portable devices for radiation measurement in flight to lower the accumulated dose of cosmic radiation by the attendants. Regulation should be prepared to check the exposed dose during the flight for the passengers by announcement of individual exposed radiation dose which has been provided only to the flight attendants. Passengers and flight attendants should recognize they are exposed to excessive cosmic radiation during the flight and civilians should be protected by the cosmic radiation when they use the flights, which should be prepared by the regulations.