• Journal of the Korean Society of Radiology
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• v.5 no.6
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• pp.415-420
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• 2011

The purpose of this study is to know the exposure dose nearby table on the general radiography(skull AP, chest PA, abdomen AP, lumbar lateral, hip joint, knee joint) and to find the reducing it. We measured beside the 45cm and 75cm table center, and 70cm, 80cm, 130cm, 150cm height from the bottom. That were measured highly from the radiography of lumbar lateral, abdomen AP and hip joint as followed $66.21{\mu}Sv$, $34.22{\mu}Sv$, and $32.35{\mu}Sv$ at the 80cm height beside 45cm from the center of table. Measured doses were reduced in order of chest PA, abdomen, hipjoint, skull, knee joint projection. It appears exposure dose of nearby radiographic table was extremely low amount compared with limit of dose(1mSv). If it protected by Pb apron, exposure dose of assisting person will not be exceed a limit of dose. Conclusively, Wearing apron is very important to avoid radiation from the general radiography.

• Journal of radiological science and technology
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• v.44 no.5
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• pp.495-502
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• 2021

This study aims to provide basic data for elderly health insurance policy and medical radiation safety management by analyzing the general radiography usage and exposure dose of the elderly in Korea. The effective dose for each general radiography was calculated using the ALARA-GR program for 260 general radiography codes selected from 'National Health Insurance Care Benefit Cost'. The usage of general radiography was analyzed in the 2016 elderly patient data of the Health Insurance Review and Assessment Service, and the effective dose for each general radiography was applied. The general radiography usage and exposure dose per person aged 65 years and over was 6.47 cases and 0.56 mSv. Females showed higher value than males as 7.15 cases and 0.66 mSv(p<.001). By age, those between 75 and 79 showed the highest number as 6.97 cases and 0.62 mSv(p<.001). Those who were supported by Medical Aid showed higher value than those who were insured by National Health Insurance as 8.82 cases and 0.76 mSv(p<.001). In addition, the ratio by radiography was in the order of Chest 20.85%, Knee Joint 15.58%, and L-spine 14.67%, and the exposure dose was L-spine 29.40%, Chest 15.82%, Abdomen 7.97%, and Entire Spine 7.20%. General radiography, which is widely used due to the high frequency of diseases in the elderly population should be taken into consideration when establishing health insurance policies. In addition, it is necessary to check whether the general radiography with high exposure dose is performed as a routine examination without considering medical necessity.

• Journal of radiological science and technology
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• v.39 no.3
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• pp.421-427
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• 2016

We aim to offer basic materials about infection management through conducting bacterial contamination test about general radiography equipment and CT equipment installed in ER of three general hospitals with 100 sickbeds or more located in Gyeongsangbuk-do Province, and suggest management plan. It had been conducted from 1st December 2015 to 31st December, and objects were general radiography equipment and CT equipment of emergency room located in Gyeongsangbuk-do Province. For general radiography equipment, sources were collected from 4 places such as upper side of control box which employees use most, upper side of exposure button, whole upper side of table which is touching part of patient's skin, upper side of stand bucky's grid, and where patients put their jaws on. For CT equipment, sources were collected from 3 places such as upper side of control box which radiography room employees use most, X-ray exposure button, whole upper side of table which is touching part of patient's skin, and gantry inner. Surface contamination strain found at general radiography equipment in emergency room of radiology are Providencia stuartii(25%), Stenotrophomonas maltophilia(18%), Enterobacter cloacae(8%), Pseudomonas species(8%), Staphylococcus epidermidis(8%), Gram negative bacilli(8%), and ungrown bacteria at incubator after 48 hours of incubation (67%) which is the biggest. Most bacteria were found at upper side of stand bucky-grid and stand bucky of radiology's general radiography equipment, and most sources of CT equipment were focused at patient table, which means it is contaminated by patients who have various diseases, and patients who have strains with decreased immunity may get severe diseases. Thus infection prevention should be made through 70% alcohol disinfection at both before test and after test.

• Journal of the Korean Society of Radiology
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• v.12 no.6
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• pp.793-799
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• 2018

As interest in artificial intelligence has increased, artificial intelligence has been actively studied in the medical field. In Korea, artificial intelligence has been applied to medical imaging devices such as X-ray imaging, Computer Tomography and Magnetic Resonance Imaging and artificial intelligence capable of acquiring radiation images of patients without radiologists in the future Medical devices are expected to be invented. This study was an initial study on the automation of patient positioning in X - ray imaging. We used x-ray equipment and human phantoms to evaluate the positioning. The program used Visual Studio 2010 MFC and the image was in the size $1450{\times}1814$. The pixel values were converted to contrasts with values of 0 to 255 that can be visually recognized and output to the monitor. We developed a procedure algorithm program that predicts the angle of the output image through three pixel coordinate values and induces the patient to perform correct positioning according to the voice guidance according to the angle. In the next study, we will study the artificial intelligence to grasp the structure itself and calculate the angle, rather than conveying the reference of coordinates to artificial intelligence. In the future, it is expected that it will be helpful in the study of artificial intelligence from shooting to positioning through the automation of positioning.

• The Journal of the Korea Contents Association
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• v.9 no.12
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• pp.385-390
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• 2009

The Pneumatic Reduction and VCUG (Voiding Cystourethrography) are commonly used in the paediatric age group. The procedures had a particularly long fluroscopic screening time, despite a successful outcome for paediatric patients. Pneumatic Reduction and VCUG almost invariably requires fluoroscopic guidance which does confer a radiation dose. This article contains suggestions on how the radiation dose to paediatric patients from Pneumatic Reduction and VCUG can be made "as low as reasonably achievable" (ALARA). The aim of our study was eliminated in spot image applying the FluoroGrab, which has function of capturing an image of interest area from the picturing while fluoroscopic procedures. FluoroGrab has clinical value equivalent to the spot image, and is applied to the most recent fluoroscopic procedures. The radiologist and the radiographers should consider new option for decreasing the radiation exposure delivered to paediatric patients by making equipment modifications to the fluoroscopy to optimize radiation exposure reduction techniques. Thus, we propose the FluoroGrab instead of spot exposure for the reduction of patient exposure dose in paediatric, and try to confirm the effect of the mitigating amount of radiation exposure to paediatric patients when pneumatic reduction and VCUG. Fluorograb is the safe and useful method that shows the equivalent level of accuracy to spot exposure, and to minimize the radiation load to paediatric patients are to be the substitute for the spot exposure for Pneumatic Reduction and VCUG.

• Proceedings of the Korea Contents Association Conference
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• 2009.05a
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• pp.1167-1172
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• 2009

The Pneumatic Reduction and VCUG (Voiding Cystourethrography) are commonly used in the paediatric age group. The procedures had a particularly long fluroscopic screening time, despite a successful outcome for paediatric patients. Pneumatic Reduction and VCUG almost invariably requires fluoroscopic guidance which does confer a radiation dose. This article contains suggestions on how the radiation dose to paediatric patients from Pneumatic Reduction and VCUG can be made "as low as reasonably achievable" (ALARA). The aim of our study was eliminated in spot image applying the FluoroGrab, which has function of capturing an image of interest area from the picturing while fluoroscopic procedures. FluoroGrab has clinical value equivalent to the spot image, and is applied to the most recent fluoroscopic procedures. The radiologist and the radiographers should consider new option for decreasing the radiation exposure delivered to paediatric patients by making equipment modifications to the fluoroscopy to optimize radiation exposure reduction techniques. Thus, we propose the FluoroGrab instead of spot exposure for the reduction of patient exposure dose in paediatric, and try to confirm the effect of the mitigating amount of radiation exposure to paediatric patients when pneumatic reduction and VCUG. Fluorograb is the safe and useful method that shows the equivalent level of accuracy to spot exposure, and to minimize the radiation load to paediatric patients are to be the substitute for the spot exposure for Pneumatic Reduction and VCUG.

• Journal of Radiation Protection and Research
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• v.38 no.2
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• pp.78-90
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• 2013

Recently, the interest on exposure to radiation is rising. The radiation exposure of mammography is higher in absorbed dose than of X-ray, therefore unnecessary exposure needs to be reduced, and higher image quality is needed. Generally, ray quality of the radiation imaging is an important factor that determines image quality and the amount of ray exposure, and they are affected by tube voltage and added filter. The X-ray energy that is exposed from mammography device is generally a continuous spectrum, which includes low energy that has minute influence on the image quality, and high energy that hinders contrast on image. Currently, molybdenum (Mo) and rhodium (Rh) are the most used added filters for mammography device, and they are used differently according to the energy region of X-ray. This study aims to find out the degree of reduction in exposure dose according to the thickness of aluminum (Al), and to study the changes in image quality and dose when the added filter plates that are made with niobium (Nb) or zirconium (Zr) are used, other than molybdenum (Mo) and rhodium (Rh), the two most used added filters that have similar atomic number and K-absorption regions as Nb and Zr. In this study, single-added filters of molybdenum (Mo), niobium (Nb), and zirconium (Zr) are used, and in some cases, Aluminum (Al) is combined with the single filters. In this case, image quality is considered to be improved depending on the type of added filters, and by using Aluminum (Al) filter together with the others, unnecessary X-ray of low energy would be absorbed, therefore the dose is expected to decrease without any influence when the concentration level becomes identical.

• Journal of radiological science and technology
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• v.28 no.3
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• pp.241-248
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• 2005

X-ray examinations represent the largest man-made source of radiation exposure for the population. The need for standardization of radiation exposures has been suggested and the guidance levels for various radiographic and radioisotope examinations has been proposed by the International Atomic Energy Aency(IAEA) as a safety standard. In many countries, the situation of medical radiographic exposures in each country should be researched before the appropriate guidance level is established. In this study, measurements of entrance surface dose, dose-area product(DAP), computed tomograghic dose index(CTDI) and mean glandular dose(MGD) were carried out in patients who underwent routine x-ray examinations, fluoroscopy, computed tomograghy and mamography in Korea. These measured quantities were compared with the results from the calculation method in previous study. And we suggested diagnostic reference levels in medical imaging in Korea.

• Journal of radiological science and technology
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• v.47 no.2
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• pp.107-116
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• 2024

In this study, we analyzed the use of general radiography imaging and effective dose in inpatients. Our aim is to help reduce national medical radiation exposure doses and develop rational health-care financial policies. The effective dose for each general radiography was calculated using the ALARA-GR program for 53 types (total: 260 codes) general radiography codes selected from 'National Health Insurance Care Benefit Cost'. The usage of general radiography was analyzed in the 2018 inpatient patient data of the Health Insurance Review and Assessment Service, and the effective dose for each general radiography was analyzed. 89.00% of inpatients undergo general radiography imaging at least once, with an average of 12.63 scans per person and an effective dose of 1.00 mSv. Those who received support from Medical Aid showed a higher value compared to those who were insured by National Health Insurance, with 17.39 cases and 1.43 mSv (p<.001). Chest had the highest usage rate at 23.12% for general radiography imaging, while L-spine had the highest effective dose at 24.53%. It is estimated that 420 inpatients patients undergo 121 to 820 general radiography imaging procedures per year, and 233 inpatients are estimated to have an annual effective dose of >20.00~58.25 mSv. Rational use of health-care finances and the practice of medical radiation safety management are essential for the well-being of individuals, the enhancement of quality of life, and the improvement of health-care quality.

• Journal of The Korean Radiological Technologist Association
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• v.30 no.1
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• pp.7-10
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• 2004

It is number that statistics is received by sequence of mass observation. This observes by large quantity about its part of element or one part and projects when is fixed and fixed congregate existing circumstances in place. And it is work which figure it