• Title/Summary/Keyword: 방사선 위험도

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Medical Radiation Exposure in Children CT and Dose Reduction (소아 CT 촬영시 방사선 피폭과 저감화 방법)

  • Lee, Jeong-Keun;Jang, Seong-Joo;Jang, Young-Ill
    • The Journal of the Korea Contents Association
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    • v.14 no.1
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    • pp.356-363
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    • 2014
  • Recently pediatric CT has been performed by reduced dose according to tube current modulation이라고, this fact has a possibility more reduce a dose because of strong affect depend on tube current modulation. Almost all MDCT snow show and allow storage of the volume CT dose index (CTDIvol), dose length product (DLP), and effective dose estimations on dose reports, which are essential to assess patient radiation exposure and risks. To decrease these radiation exposure risks, the principles of justification and optimization should be followed. justification means that the examination must be medically indicated and useful. Results is using tube current modulation이라고 tend to the lower kV, the lower effective dose. In case of use a low dose CT protocol, we found a relatively lower effective dose than using tube current modulation. Average effective dose of our studies(brain, chest, abdomen-pelvis) less than 47%, 13.8%, 25.7% of germany reference dose, and 55.7%, 10.2%, 43.6% of UK(United Kingdom) reference dose respectively. when performed examination for reduced dose, we must use tube current modulation and low dose CT protocol including body-weight based tube current adaption.

Gallstones Risk Factor and Prevalence in the Elderly in Jeju Island (제주지역 노인의 담낭결석 유병률 및 위험요인)

  • Sim, Hyun-Sun;Choi, Joon-Lock;Park, Jae-Jin;Lee, Su-Yeon;Lee, Ji-Min;Jung, Hong-Ryang;Lim, Chung-Hwan;Kim, Jung-Gu
    • Journal of radiological science and technology
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    • v.32 no.3
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    • pp.293-298
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    • 2009
  • Background/aim : Gallbladder stone is the most common disease of biliary tract. It is lead to acute abdominal pain. The cholecystitis which is caused by in gallbladder stone occurs frequently and the possibility of the gallbladder cancer comes to be high. Our study was designed to determine the prevalence and risk factors gallbladder stone in a population who community. Materials and Methods : We enrolled a total of 826 (male : 297, female : 529) persons who 60 or older in Jeju-do 10 places from 2008 July one months. The height, weight, liver function tests, lipid profile, fasting blood sugar, were all measurement. They had their gallbladder examined with using ultrasonography. Statistical significance was defined as a p-value less than 0.05. Results : Among 826 persons, gallbladder stone was found in 49 persons (5.9%). The male is 6.1% and the female is 5.8%, the male 1.03 times appeared more highly the female. The body mass index above of 23.0 kg/$m^2$ with the gallbladder stone was 69.3% (p<0.047). Conclusion : The gallbladder stone appeared highly according to age increases. The obesity is the risk factor of gallbladder stone. The weight management and diet control is a possibility of reducing a gallbladder stone creation.

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The Study on Risk Factor of Metabolic Diseases in Pancreatic Steatosis (췌장지방증에서 대사성질환의 위험 요인에 관한 연구)

  • Cho, Jin-Young;Ye, Soo-Young;Kim, Dong-Hyun
    • Journal of radiological science and technology
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    • v.39 no.1
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    • pp.81-88
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    • 2016
  • The body of the fat tissue increased in obese represented by risk factors such as cardiovascular diseases, diabetes, metabolic disease and dyslipidemia. Such metabolic diseases and the like of the cardiovascular and cerebrovascular disease, hypertension, dyslipidemia, increase in the adipose tissue of the pancreas is known to be a risk factor of these diseases. Study on the diagnosis and treatment of pancreatic cancer was conducted actively, case studies on pancreatic steatosis is not much. In this study, divided into a control group diagnosed with pancreatic steatosis as a result of ultrasonography to evaluation the physical characteristics and serologic tests and blood pressure and arterial stiffness. The control group and the test pancreas steatosis age and waist circumference, body mass index, total cholesterol, HDL cholesterol, LDL cholesterol, and systolic and diastolic blood pressure, fasting blood glucose, arterial elasticity is higher in pancreatic steatosis. And the lower ankle brachial stenosis and HDL-cholesterol were lower than the normal control group, so the pancreatic steatosis harmful to blood vessels.(P <0.05). The difference between the control group and it was confirmed that the pancreatic jibanggun statistically significant. In conclusion, pancreatic steatosis at abdominal ultrasound can predict the risk of metabolic diseases, and there was a correlation with cardiovascular disease.

Hematological change in mice injected with radiosensitizer and irradiated with high-dose radiation (증감약제를 투여한 마우스에 고에너지 방사선 조사 후 혈액학적 변화에 관한 연구)

  • Jung, Myo-Young;Ji, Yeon-Sang;Dong, Kyung-Rae
    • Proceedings of the Korea Contents Association Conference
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    • 2009.05a
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    • pp.1136-1140
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    • 2009
  • The current population of elderly is increasing and the with an extended average lifespan, the frequency of cancerous occurrences have also increased, with these increases and the increase in radiotherapy for cancer patients, recognitions of harm and importance have become known. This article was known tumor treatment of patients with hematopoietic disorder by doing a comparative study on the changes in blood cells caused by the acute effects of trace dose to high dose of radiation exposed to mice. According to the sensitizer injection may give rise to harm to the components of peripheral blood. This material needs to be considered when for treating tumor patients and the risks of hematopoietic harm and believe that radiation therapy will be reasonable.

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A Prospective Randomized Comparative Clinical Trial Comparing the Efficacy between Ondansetron and Metoclopramide for Prevention of Nausea and Vomiting in Patients Undergoing Fractionated Radiotherapy to the Abdominal Region (복부 방사선치료를 받는 환자에서 발생하는 오심 및 구토에 대한 온단세트론과 메토클로프라미드의 효과 : 제 3상 전향적 무작위 비교임상시험)

  • Park Hee Chul;Suh Chang Ok;Seong Jinsil;Cho Jae Ho;Lim John Jihoon;Park Won;Song Jae Seok;Kim Gwi Eon
    • Radiation Oncology Journal
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    • v.19 no.2
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    • pp.127-135
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    • 2001
  • Purpose : This study is a prospective randomized clinical trial comparing the efficacy and complication of anti-emetic drugs for prevention of nausea and vomiting after radiotherapy which has moderate emetogenic potential. The aim of this study was to investigate whether the anti-emetic efficacy of ondansetron $(Zofran^{\circledR})$ 8 mg bid dose (Group O) is better than the efficacy of metoclopramide 5 mg lid dose (Group M) in patients undergoing fractionated radiotherapy to the abdominal region. Materials and Methods : Study entry was restricted to those patients who met the following eligibility criteria: histologically confirmed malignant disease; no distant metastasis; performance status of not more than ECOG grade 2; no previous chemotherapy and radiotherapy. Between March 1997 and February 1998, 60 patients enrolled in this study. All patients signed a written statement of informed consent prior to enrollment. Blinding was maintained by dosing identical number of tablets including one dose of matching placebo for Group O. The extent of nausea, appetite loss, and the number of emetic episodes were recorded everyday using diary card. The mean score of nausea, appetite loss and the mean number of emetic episodes were obtained in a weekly interval. Results : Prescription error occurred in one patient. And diary cards have not returned in 3 patients due to premature refusal of treatment. Card from one patient was excluded from the analysis because she had a history of treatment for neurosis. As a result, the analysis consisted of 55 patients. Patient characteristics and radiotherapy characteristics were similar except mean age was $52.9{\pm}11.2$ in group M, $46.5{\pm}9.5$ in group O. The difference of age was statistically significant. The mean score of nausea, appetite loss and emetic episodes in a weekly interval was higher in group M than O. In group M, the symptoms were most significant at 5th week. In a panel data analysis using mixed procedure, treatment group was only significant factor detecting the difference of weekly score for all three symptoms. Ondansetron $(Zofran^{\circledR})$ 8 mg bid dose and metoclopramide 5 mg lid dose were well tolerated without significant side effects. There were no clinically important changes In vital signs or clinical laboratory parameters with either drug. Conclusion : Concerning the fact that patients with younger age have higher emetogenic potential, there are possibilities that age difference between two treatment groups lowered the statistical power of analysis. There were significant difference favoring ondansetron group with respect to the severity of nausea, vomiting and loss of appetite. We concluded that ondansetron is more effective anti-emetic agents in the control of radiotherapy-induced nausea, vomiting, loss of appetite without significant toxicity, compared with commonly used drug, i.e., metoclopramide. However, there were patients suffering emesis despite the administration of ondansetron. The possible strategies to improve the prevention and the treatment of radiotherapy-induced emesis must be further studied.

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Hematological Change in Mice Injected with Radiosensitizer and Irradiated with High-dose Radiation (방사선 증감제를 투여한 마우스에 고 에너지 방사선 조사 후 혈액학적 변화에 관한 연구)

  • Ji, Yeon-Sang;Dong, Kyung-Rae;Jung, Myo-Young;Park, Yong-Soon;Dong, Cha-Bun;Ryu, Young-Hwan
    • The Journal of the Korea Contents Association
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    • v.9 no.12
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    • pp.357-363
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    • 2009
  • The current population of elderly is increasing and the with an extended average lifespan, the frequency of cancerous occurrences have also increased, with these increases and the increase in radiotherapy for cancer patients, recognitions of harm and importance have become known. This article was known tumor treatment of patients with hematopoietic disorder by doing a comparative study on the changes in blood cells caused by the acute effects of trace dose to high dose of radiation exposed to mice. According to the sensitizer injection may give rise to harm to the components of peripheral blood. This material needs to be considered when for treating tumor patients and the risks of hematopoietic harm and believe that radiation therapy will be reasonable.

Analysis of Awareness of Radiation and Nuclear Power Plants after Fukushima Nuclear Accident (후쿠시마 원전 사고 후 방사선 및 원전에 대한 인식 분석)

  • Kim, Changsoo;Kim, Dong-Hyun;Kim, Jung-Hoon
    • The Journal of the Korea Contents Association
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    • v.13 no.9
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    • pp.281-287
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    • 2013
  • Based on surveys of Busan residents, this study aimed to analyze general perception: radiation knowledge, recognition of the standard of knowledge, radiation benefits, recognition of the risks of nuclear power, collection of information on the Fukushima nuclear accident, recognition of changes before and after the Fukushima nuclear accident, and the path of collecting information about nuclear power and radiation. This analysis was based on 414 people who reside in Busan metropolitan city. It has been found that the Busan metropolitan city residents acknowledged the necessity of radiation in principle, however, most have negative awareness relating to safety. It is assumed that this negative awareness is a result from past nuclear power plant accidents, rather than being based on their own knowledge of radiation. Therefore, it is considered that efforts to change people's awareness necessitate education of the public. This can be done via media, widening the range of people's knowledge, and furthermore, promoting changes within people's awareness and perspectives.

Second Malignant Solid Neoplasms in Children Treated with Radiotherapy - Report of Two Cases and Review of Literature - (소아암의 방사선치료후 발생한 이차 악성 고형 종양 - 증례보고 및 문헌고찰 -)

  • Chung, Eun-Ji;Suh, Chang-Ok;Kim, Gwi-Eon;Lyu, Chuhl-Joo;Kim, Byung-Soo
    • Radiation Oncology Journal
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    • v.13 no.3
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    • pp.267-275
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    • 1995
  • Radiotherapy and chemotherapy can effectively control cancer but can also cause new second cancers to develop as long-term complications especially in childhood cancer. We experienced two patients with second malignant solid neoplasm who had been treated with radiation and chemotherapy for childhood cancers One female patient with rhabdomyosarcoma of the right popliteal fossa was treated with radiotherapy at total dose of 54Gy Three years and seven months later, osteosarcoma developed in the field of radiation therapy The other male patient with non-Hodgkin's lymphoma of the small bowel was treated with radiotherapy and leiomyosarcoma developed in the field of radiotherapy 18 years later. We reviewed the literature of the second malignant neoplasm in children in respect of risk factors. The risk for a second primary cancer following radiotherapy or chemotherapy emphasizes the need for life long follow-up of patients receiving such treatments, particularly patients treated for childhood cancers.

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Convergence study related to the development of new clinical training simulator for dental radiography based on augmented reality (증강현실 기반 치과방사선 임상시뮬레이터 개발과 관련된 융합 연구)

  • Gu, Ja-Young;Lee, Jae-Gi
    • Journal of the Korea Convergence Society
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    • v.9 no.11
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    • pp.161-167
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    • 2018
  • A clinician's skills in a dental clinic are an important factor in removing the risk factors of patients. Although many universities have conducted educational programs, there has been a limitation on repeated practice because of the limited space and equipment. In dental radiography, there are various intraoral radiographic techniques. Since proficiency in radiography is an important factor in obtaining accurate radiographs, repeated practice and skill learning are important at the pre-clinical stage. However, the recent amendment of diagnostic radiation has caused difficulties in repeated practice on the human body. This study aims to develop a clinical simulator for intraoral radiography that enables repeated practice and self-directed learning without any restriction by utilizing the augmented reality technology to foster clinical skills for dental hygienist.

University Students' Awareness of Radiation (대학생들의 방사선에 대한 인식도)

  • Kim, Chang-Gyu
    • Journal of the Korea Convergence Society
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    • v.3 no.1
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    • pp.27-34
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    • 2012
  • After Fukushima Nuclear Accident on Mar11, 2011, to grasp the thought of university students in Korea on radiation and medical radiation and seek for the right mass communication on the radiation safety of the people and the proper teaching method on radiation, 790 questionnaires from the universities which had a four-year department of radiological science in 5 provinces(Gyeonggi, Gangwon, Chungcheong, Jeolla, and Gyeongsang-do) all over the country were collected and analyzed. The questionnaire was composed of 36 items, and it was analyzed that one of the important causes that made them feel that radiation was dangerous was 'even if they were exposed to the small quantity of radiation, they could have trouble later.' ($3.28{\pm}1.05$). In the item of the control of radiation, there were the respondents who answered that the government should take action rather than an individual($3.87{\pm}0.89$). In the item of 'Fukushima Nuclear Accident made me think that 'We should not keep nuclear power generation', the result was $2.79{\pm}0.95$. In the item of 'My thought on the medical radiation has negatively changed since Fukushima Nuclear Accident', the students who hadn't taken the course related with radiation showed a negative thought on the medical radiation, such as, there was $2.64{\pm}1.02$ as a whole, $2.31{\pm}1.00$ in department of radiological science, $2.94{\pm}0.95$ in department of dental hygiene, and $3.13{\pm}0.82$ in other departments. And also, those who thought that the education of radiation was necessary were 82.28%, and T.V or Internet was thought as the most effective teaching method.