• Title/Summary/Keyword: 흉부 X선

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Assessment of Entrance Surface Dose and Image Distortion in Accordance with Abdominal Obesity in the Chest Radiography (흉부 X-선 검사에서 복부비만에 따른 입사표면선량과 영상 왜곡도 평가)

  • Kim, Boo Soon;Park, Jeong Kyu;Kwon, Soon Mu
    • Journal of the Korean Society of Radiology
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    • v.9 no.7
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    • pp.473-478
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    • 2015
  • Abdominal obesity is one of the most influential index to predict of insulin resistance syndrome/metabolic syndrome in social demographic characteristics. It is matter of fact that radiation dose are increasing with development of medical treatment and device. In this study, we estimated distortion between reference image and entrance surface dose when take a chest radiography forward chest phantom assumed abdominal obesity. When angle of chest phantom incline $5^{\circ}$ forward, thoracic transverse and longitudinal diameter increase 1.22% and 0.44% each. Also cardiac transverse diameter increase 1.01% and cardio-throracic ratio (CTR) decrease 0.27% in the same situation of incline to $5^{\circ}$ forward. Thoracic transverse diameter shows the largest increase, and CTR was decreased. But entrance surface dose to phantom increase significantly 6.12% when angle of chest phantom incline $5^{\circ}$ forward. In conclusion, we have to pay attention to accurate positioning, to prevent a distortion of image through incline, and make patients not to expose to additional radiation.

A Study on the Chest Indirect Radiography (흉부X선 간접촬영의 촬영조건과 화질에 관한 조사연구)

  • Kim, Hark-Sung;Lee, In-Ja;Kim, Sung-Soo;Huh, Joon
    • Journal of radiological science and technology
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    • v.26 no.4
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    • pp.11-19
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    • 2003
  • chest Indirect radiography were taken at 44 medical facilities in Seoul area. The results were as follows: 1. The average tube voltage was 98.2 kVp in case of 100 mm film and 91.3 kVp in case of 70 mm film. 2. The average tube current was 18.1 mAs in case of 100 mm film and 42.5 mAs in case of 70 mm film. 3. In the physical evaluation of chest Indirect radiographs, the density in case of 100 mm film was similar to that in case of 70 mm film. 4. In the visual evaluation of chest Indirect radiographs, the score of identification in case of 100 mm film was higher than that in case of 70 mm film. 5. The average dose of radiation into the skin was 1.38 mGy in case of 100mm film and 4.59 mGy in case of 70 mm film. In conclusion, the image quality of chests was excellent and the dose of radiation into the skin decreased in case of 100 mm film.

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Effect of Automatic Exposure Control Marker with Chest Radiography in Radiation Reduction (자동노출제어를 사용한 X선 흉부촬영에서 AEC 표지자 사용에 따른 환자 피폭선량 감소 효과)

  • Jung, Ji-Sang;Choi, Byoung-Wook;Kim, Sung-Ho;Kim, Young-Mo;Shim, Ji-Na;Ahn, Ho-Sik;Jin, Duk-Eun;Lim, Jae-Sik;Kang, Sung-Ho
    • Journal of radiological science and technology
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    • v.37 no.3
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    • pp.177-185
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    • 2014
  • This study focused on effects of patient exposure dose reduction with AEC (Auto Exposure Control) marker that is designed for showing location of AEC in X-ray Chest radiography. It included 880 adults who have to use Chest X-ray Digital Radiography system (DRS, LISTEM, Korea). AEC (Ion chambers are posited in top of both sides) are used to every adult and set X-ray system as Field size $17{\times}17inch$, 120kVp, FFD 180cm. 440 people of control group are posited on detector to include both sides of lung field and the other 440 people of experimental group are set to contact their lung directly to Ion chamber (making marker to shows location). Then, measured every DAP and, estimated patient effective dose by using PCXMC 2.0. The average age of control group (M:F=245:195) is 53.9 and the average BMI is 23.4. BMI ranges from under weight: 35, normal range: 279, over weight: 106 to obese: 20 and average DAP is 223.56mGycm2, Mean effective dose is 0.045mSv. The average age of experimental group (M:F=197:243) is 53.7 and the average BMI is 22.7. BMI ranges from under weight: 34, normal range: 315, over weight: 85 to obese: 6 and average DAP is 207.36mGycm2, Mean effective dose is 0.041mSv. Experimental group shows less Mean effective dose as 0.004mSv (9.7%) than control group. Also, patient numbers who got over exposure more than 0.056mSv (limit point to know efficiency of AEC marker) is 65 in control group (14.7%), 19 in experimental group (4.3%) and take statistics with t-Test. The statistical difference between two groups is 0.006. In order to use proper amount of X-ray in auto exposure controlled chest X-ray system, matching location between ion chamber and body part is needed, and using AEC marker (designed for showing location of ion chamber) is a way to reduce unnecessary patient exposure dose.

Performance Evaluation of Pulmonary Nodules Detection Filter from X-ray Images (흉부 X선 화상으로부터 폐종류 음영 검출 필터의 평가)

  • 김응규
    • Proceedings of the Korea Institute of Convergence Signal Processing
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    • 2000.12a
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    • pp.133-136
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    • 2000
  • 에너지 차분 흥부 X선 화상으로부터 폐종류 음영을 검출하기 위한 필터를 예측해서 전문의의 진단보조 혹은 총합자동진단시스템의 구성 요소로서 필터가 발휘한 역할을 고려한 후, 구체적인 성능 평가 방법을 제안한다. 필터의 성능을 평가할 때 문턱값을 변화시킨 경우, 못보고 빠트린 비율과 잘못 본 비율의 변화를 ROC 곡선으로 나타내어 이것에 기초한 판단을 행하는 접근방법이 있다. 본 연구에서는 이와같은 평가에 대한 구체적인 예를 통하여 문제점을 명확히 하여 그 평가기준을 마련한다. 성능 평가를 행하기 위해 이용된 에너지 차분화상으로서, 임상 데이터 14개의 증예를 이용한다. 즉, 총 종류수 32개 한 개의 증예에 있어서 종류의 개수는 1~8개로 평균 2개, 1mm 당 샘플링 간격 5 픽셀, 비트 분해능 10 bit의 저압화상으로, 그 크기는 1760$\times$1760이다. 계산기 하드웨어의 제약으로부터 원화상을 가우스 함수로 평활화 해서 1/8로 축소한 화상으로 실험을 행한다. 상기 평가 절차에 따라, 이전에 개발된 다중해상도 ∇$^2$G 필터의 성능을 평가하고, 단일해상도 ∇$^2$G 필터와의 비교를 통해 그 성능이 우수함을 확인한다. 본 평가 방법은 화상진단 지원용 필터의 평가에 대해서 적용될 수 있을 것이다.

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A Case of Esophageal Foreign Body Complicated by Pneumothorax (기흉을 초래한 식도이물)

  • 박상열;최진택;김광현;박찬일
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1982.05a
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    • pp.7.2-7
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    • 1982
  • Foreign body in the esophagus is not uncommom in the otolaryngological field, but esophageal perforation followed by pneumothrax due to esophageal foreign body is very rare. Authors recently experienced such a case developed in 1 year old male baby. This baby had been treated at local clinic for 2 weeks prior to admission under the impression of U.R.I.. Thereafter foreign body in the esophagus (fine wire pin) with left pneumothorax was detected by chest X-ray and the body was transfered to our hospital. Closed chest tube was inserted on left and under the general anesthesia, foreign body was removed by esophagoscopy. He was discharged on 16th postoperative day uneventfully.

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Chest Radiographs and CT Findings during Healthcare Workers' Tuberculosis Screening Using Interferon- Gamma Release Assay: Retrospective Observational Study (인터페론-감마 분비 검사를 이용한 의료 종사자의 결핵 스크리닝에서 흉부 X선 사진 및 CT 소견: 후향적 관찰 연구)

  • Ye Ra Choi;Jung-Kyu Lee;Eun Young Heo;Deog Kyeom Kim;Kwang Nam Jin
    • Journal of the Korean Society of Radiology
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    • v.82 no.6
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    • pp.1524-1533
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    • 2021
  • Purpose To investigate the incidence of tuberculosis (TB) in healthcare workers (HCWs) with positive interferon-gamma release assay (IGRA) results based on chest X-ray (CXR) and CT findings and determine the role of imaging in the diagnosis of TB. Materials and Methods Among 1976 hospital personnel screened for TB using IGRA, IGRApositive subjects were retrospectively investigated. Clustered nodular and/or linear streaky opacities in the upper lung zone were considered positive on CXR. The CT findings were classified as active, indeterminate, inactive, or normal. The active or indeterminate class was considered CT-positive. Results IGRA was positive in 255 subjects (12.9%). CXR and CT were performed in 249 (99.2%) and 113 subjects (45.0%), respectively. CXR- and CT-positive findings were found in 7 of 249 (2.8%) and 9 of 113 (8.0%) patients, respectively. Among the nine CT-positive subjects, active and indeterminate TB findings were found in 6 (5.3%) and 3 (2.7%) patients, respectively. Microbiological tests, including acid-fast bacilli staining, culture, and polymerase chain reaction for TB, were negative in all nine CT-positive subjects. Empirical anti-TB medications were administered to 9 CT-positive subjects, and 3 of these nine subjects were CXR-negative for pulmonary TB.

Evaluation of Virtual Grid Software (VGS) Image Quality for Variation of kVp and mAs (관전압과 관전류량 변화에 대한 가상 그리드 소프트웨어(VGS) 화질평가)

  • Chang-gi Kong
    • Journal of the Korean Society of Radiology
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    • v.17 no.5
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    • pp.725-733
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    • 2023
  • The purpose of this study is to evaluate the effectiveness of virtual grid software (VGS). The purpose of this study is to evaluate the changes in energy and object thickness by dividing the use of VGS into two cases (Without-VGS) without using a movable grid. We attempted to determine the effectiveness of VGS by acquiring images using a chest phantom and a thigh phantom and analyzing SNR and CNR. In the chest phantom and femoral phantom, the tube flow was fixed at 2.5 mAs, and the tube voltage was changed by 10 kVp from 60 to 100 kVp to measure SNR and CNR, and SNR was about 1.09 to 8.86% higher in the chest phantom than in Without-VGS, and CNR was 4.18 to 14.56% higher in the VGS than in Without-VGS. And in the femoral phantom, SNR was about 9.78 to 18.05% higher in VGS than in Without-VGS, and CNR was 21.07 to 44.44% higher in VGS than in Without-VGS. The tube voltage was fixed at 70 kVp in the chest phantom and the femoral phantom, and the amount of tube current was changed at 2.5 to 16 mAs, respectively, and after X-ray irradiation, SNR and CNR were measured in the chest phantom, which was about 1.49 to 11.11% higher in VGS than in Without-VGS, and CNR was 4.76 to 13.40% higher in VGS than in Without-VGS. And in the femoral phantom, SNR was about 2.22 to 17.38% higher in VGS than in Without-VGS, and CNR was 13.85 to 40.46% higher in VGS than in Without-VGS. Therefore, if an inspection is required with a mobile X-ray imaging device, it is believed that good image quality can be obtained by using VGS in an environment where it is difficult to use a mobile grid, and it is believed that the use of mobile X-ray devices can be increased.

A Study on Chest Radiography Taken Patient Care and Cost Benefit into Consideration (Patient care와 cost benefit를 고려(考慮)한 흉부(胸部) X선촬영(線撮影))

  • Hayashi, Taro
    • Journal of radiological science and technology
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    • v.13 no.2
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    • pp.53-65
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    • 1990
  • Exposure factors in the chest radiographic examination vary with hospital. They include low voltage radiation to high voltage hard radiation quality, which are in wide use. In the present report, exposure factors generally employed are reviewed, and the chest radiograhic techniques performed in our hospital are explained. In addition, the attitude of radiological technologists toward patients and so forth are also discussed.

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