• Title/Summary/Keyword: 환자 피폭선량

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Exposure Dose of DIPS in Proton Therapy for Pediatric Cancer Patients (소아암 환자의 양성자치료 시 DIPS 촬영에 따른 피폭선량)

  • Kim, Jeong-Soo;Kim, Jeong-Koo
    • Journal of radiological science and technology
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    • v.34 no.1
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    • pp.59-64
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    • 2011
  • We investigated the radiation exposure caused by DIPS, which is used to identify accurate repositioning and tumor location in pediatric cancer patients proton therapy. To compare and analyze DIPS condition, 50 pediatric cancer patients who underwent proton therapy were selected in Ilsan K cancer-specialized hospital from March 2007 to October 2009. For DIP exposure, 0.09~1.57 mGy is measured in AP and lateral directions and 23.55 mGy is measured in CSI patients. In whole brain patient, the amount of a day DIP exposure dose was 1.13 mGy. During treatment period, who exposed the biggest DIP dose are whole brain patients, 632.71 mGy is exposed. It is 1.13% of prescribed dose, represented dose is adequate because it is not exceeded 2% of recommended dose. Even though the exposed dose is not exceeded more than 2% of prescribed in DIP exposure, we should recognize the radiation damage and genetic influences to pediatric cancer patients, who is much sensitive to radiation and has longer mean residual life time. Therefore, DIPS guideline for pediatric cancer patients should be indicated to minimize the radiation exposure.

The Evaluation of Patients' Radiation Dose During TACE of Interventional Radiology (TACE의 중재적 시술시 환자의 피폭선량 평가)

  • Lee, Seung-Youl;Lim, Hyun-Soo;Han, Man-Seok
    • Journal of radiological science and technology
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    • v.34 no.3
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    • pp.209-214
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    • 2011
  • Goal of this study was to measure effective radiation dose of highly exposed patients who were treated by TACE, interventional radiology from June to September 2010. The effective radiation dose was approximately measured by weighted DAP (dose area product) with the ionization chamber which is inserted in angiography equiment (Philips Allura Xper FD 20). Radiation dose was measured by TLD which was attached to patients' thyroid and genital gland. The average of ED (effective dose) was 18.43${\pm}$6.63 mSv per person and the average of radiation dose of thyroid and genital gland was 0.37 mSv, 0.77 mSv, respectively. The mean radiation dose of operators who wear the protector was 0.07 mSv for thyroid, and 0.01 mSv for genital gland, respectively. All staffs involved in TACE treatment, have to keep them aware and use the appropriate protectors to reduce the radiation dose of patient.

A Study on the Evaluation of Patient Dose in Interventional Radiology (중재적방사선검사에서 환자 피폭선량에 관한 연구)

  • Park, Hyung-Sin;Lim, Cheong-Hwan;Kang, Byung-Sam;You, In-Gyu;Jung, Hong-Ryang
    • Journal of radiological science and technology
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    • v.35 no.4
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    • pp.299-308
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    • 2012
  • To perform patient dose surveys in major interventional radiography procedures as a mean of inter-institutional comparison and of establishing reference dose levels with the ultimate goal of optimizing patient doses in the field of interventional radiography. We reviewed international patient dose survey data in the literature and measured patient dose in major interventional radiography procedures (TACE, AVF, PTBD, TFCA, GDC embolization). ESD(Entrance Skin Dose) was measured using TLD chips attached to the patient skin and ED(Effective Dose) was calculated using angiography unit-derived DAP. A survey of patient dose in interventional radiography procedures were also performed with a questionnaire for interventional radiologists and we proposed a guideline for optimizing patient doses in the field of interventional radiology. The patient dose survey data in interventional radiography procedures were very rare in literature compared with those in diagnostic radiography procedures. In TACE, the mean ED was 25.43 mSv and the mean ESD was 511.75 mGy. The mean ED of TACE was not high, but the cumulative dose should be checked, due to longer procedure TACE. In TFCA, the mean ED was 22.6 mSv and it was relatively high compared with data of other countries. In GDC embolization, the mean ED was not available, because GDC embolization was performed with old Image-Intensifier-type unit and there has no unit-installed ionization chamber. Also, the mean ESD of GDC embolization was up to 2,264 mGy and further studies are needed to calculate the net ED of GDC embolization. Patient dose occurred during interventional radiography procedures are high related with the difficulty of the procedure, fluoroscopy time, the number of angiographies and the treatment protocol. Therefore, continuous education and efforts should be made to optimize the patient dose in the field of interventional radiology.

Changes in Exposure Dose and Image Quality due to Radiation Shielding in Pediatric Patients (소아 환자에서 방사선 차폐체로 인한 피폭선량과 화질의 변화)

  • Lee, Young-Hee;Lee, Yong-Ki
    • Journal of the Korean Society of Radiology
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    • v.14 no.7
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    • pp.931-936
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    • 2020
  • This study was conducted to observe the changes in radiation exposure dose and image quality of pediatric patients according to the presence and size of the gonadal shield when using the AEC system. X-ray equipment was used to measure the radiation exposure dose in the abdominal and gonads of the pediatric phantom when no shielding body was used and when three different sizes of shielding body were used, and SNR and CNR were measured through the obtained images. As a result of the study, the radiation exposure dose to the gonads decreased in proportion to the size of the radiation shield, but the radiation exposure dose to the abdomen was rather increased, and the image quality did not change. It is recommended to use a shield with a size optimized for the age, weight, and body size of the pediatric patient so as not to be overexposed by the increased radiation due to the radiation shield due to the use of the AEC System. For this purpose, information about the pediatric patient with the nurse It is believed that exchange is necessary.

Entrance Surface Dose according to Dose Calculation : Head and Wrist (피폭선량 산출을 통한 피부입사선량 계산: 머리 및 손목을 중심으로)

  • Sung, Ho-Jin;Han, Jae-Bok;Song, Jong-Nam;Choi, Nam-Gil
    • Journal of radiological science and technology
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    • v.39 no.3
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    • pp.305-312
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    • 2016
  • This study were compared with the direct measurement and indirect dose methods through various dose calculation in head and wrist. And, the modified equation was proposed considering equipment type, setting conditions, tube voltage, inherent filter, added filter and its accompanied back scatter factor. As a result, it decreased the error of the direct measurement than the existing dose calculation. Accordingly, diagnostic radiography patient dose comparison would become easier and radiogrphic exposure control and evaluation will become more efficient. The study findings are expected to be useful in patients' effective dose rate evaluation and dose reduction.

Basic Principles of CT Dose Index and Understanding of CT Parameter for Dose Reduction Technique (CT선량지표의 원리와 선량감소 방안에 관한 연구)

  • Kim, Jung-Su;Kwon, Soon-Mu;Kim, Jung-Min
    • Journal of radiological science and technology
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    • v.38 no.1
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    • pp.51-61
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    • 2015
  • Computed tomography(CT) using radiation have potential risks. All medical radiographic examinations should require the justification of medical imaging examinations and optimization of the image quality and radiation exposure. The CT examination was higher radiation dose then general radiography. Especially pediatric CT examinations need to great caution of radiation risk. Because of pediatric patient was more sensitive of radiation exposure. Therefore, physician should consider the knowledge of CT radiation exposure indicator information for reduce a needless radiation exposure. This article was aim to understanding of CT exposure indicator, size-specific dose estimates by American Association of Physicists in Medicine (AAPM) report 204, XR 25 and understanding of CT dose reduction technique.

The Measurement of Spatial Dose Rate by Gravity Ventilation after Technegas Scanning (Technegas 스캐닝 후 중력환기에 의한 공간선량율 측정)

  • Kim, Sung-Bin;Won, Do-Yeon
    • Journal of the Korean Society of Radiology
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    • v.13 no.4
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    • pp.667-674
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    • 2019
  • Because examination with technegas produces images through simple diffusion accumulation, the examination room can become contaminated after scan. Therefore, radiation workers and patients awaiting examination will be affected by internal exposure from technegas inhalation. Before and after gravity ventilation, I am trying to find a way to reduce the exposure dose of waiting patients according to a comparative analysis of horizontal spatial dose rates over time. Spatial dose ratio were measured for 10 minutes from various distances and angles around ventilator's location before and after gravity ventilation. Then, mean values, standard deviation and reduction ratio were calculated. The highest reduction rate of gravity ventilation was 95.31% and the highest reduction ratio was 1 to 3 minutes. Therefore, the gravity ventilation could reduce the exposure dose of radiologic technologists, waiting patients, patient guardians and nurses. In conclusion, the reduction of the exposure dose during the technegas ventilation study through gravity ventilation will play a role in optimiging the protection and it is in accordance with the recommended reduction of the medical exposure by ICRP 103.

Analysis of Relationship Between Injection Dose and Exposure Dose in PET/CT Scan: Initial Study (PET/CT에서 방사성 의약품 주입량이 방사선 피폭에 미치는 영향분석: 초기연구)

  • Park, Hoon-Hee;Lyu, Kwang-Yeul
    • Journal of radiological science and technology
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    • v.34 no.4
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    • pp.351-357
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    • 2011
  • The $^{18}F$-FDG is one of the widely used isotopes for PET/CT scans. Dose amount injected to the patient depends on the characteristics of PET/CT systems. Obviously, the technologists who contact with patients would be exposed as well. In this study, we evaluated the exposed dose of the technologist who works on the PET/CT scanner. The exposed dose were measured every month with the TLDs from 6 technologists. Each technologist is shift-worker who manages 3 different PET/CT systems(Scanner 1(S1): 0.15 mCi/kg, Scanner 2(S2): 0.17 mCi/kg, Scanner 3(S3): 0.12 mCi/kg). The average exposed doses of technologists for each PET/CT system were measured as 0.76 mSv for S1, 0.93 mSv for S2 and 0.47 mSv for S3. The maximum dose was 1.12 mSv and minimum was 0.42 mSv. The results showed that there was a correlation between exposed dose and PET/CT system(p<0.005). Less injected dose for patient occurs less exposed dose for technologist. Various studies for the low dose PET/CT system are required for not only the patient but also the technologist.

Cytokinesis-blocked micronuclei in the human peripheral lymphocytes following low dose γ-rays irradiation (저선량의 감마선 피폭된 사람 말초 임파구의 미소핵을 이용한 방사선 생물학적 피폭선량 측정법 연구)

  • Kim, Tae-hwan
    • Korean Journal of Veterinary Research
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    • v.41 no.1
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    • pp.99-104
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    • 2001
  • To determine if micronucleus (MN) assay could be used to predict the absorbed dose of victims after accidental radiation exposure, we carried out to assess the absorbed dose depending on the numerical changes of MN in human peripheral blood lymphocytes after $^{60}Co\;{\gamma}-rays$ exposure in the range of 0.25 to 1 Gy, respectively. The MNs were observed at very low doses, and the numerical changes according to doses. Satisfactory dose-effect calibration curve is observed after low dose irradiation of human lymphocytes in vitro. When plotting on a linear scale against radiation dose, the line of best fit was $Y=(0.02{\pm}0.0009)+(0.033{\pm}0.010)D+(0.012{\pm}0.012)D^2$. The dose-response curve for MN induction immediately after irradiation was linear-quadratic and has a significant relationship between the frequencies of MN and dose. These data show a trend towards increase of the numbers of MN with increasing dose. The number of MN in lymphocytes that were observed in the control group is $0.1610{\pm}0.0093/cell$. Accordingly, MN assay in human peripheral lymphocytes could be a useful in viva model for studying radio-protective drug sensitivity or screening test, microdosimertic indicator and radiation-induced target organ injury. Since MN assay is simple, rapid and reproducible, it will also be a biodosimetric indicator for individual dose assessment after accidental exposure.

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The Evaluation of Radiation Dose by Compression paddle meterials in Mammography (유방촬영장치에서 압박대 재료에 따른 피폭선량 평가)

  • Hong, Dong-Hee;Jung, Hong-Ryang
    • Proceedings of the Korea Contents Association Conference
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    • 2014.11a
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    • pp.183-184
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    • 2014
  • 유방촬영은 날로 증가추세에 있으며 압박을 통해 영상을 얻는 것이 화질을 향상시키고 피폭선량을 줄이는데 필수적이다. 그러나 압박대 자체의 두께로 인해 산란선과 피폭선량을 증가시킬 수 있으므로 압박대 재질에 대한 고찰이 필요하다. 현재 임상에서 쓰이고 있는 재질은 폴리카보네이트이며 플라스틱 계열이다. 환자의 피폭선량을 줄이기 위해 노력한다면 이보다 더 좋은 재질에 대해 고려해볼 필요가 있기에 본 연구에서는 플라스틱 계열 물질과 탄소계열의 카본의 방사선투과성에 대해 비교해 보고자 한다.

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