• Title/Summary/Keyword: CT (computed tomography)

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Assessment of DRL for Computed Tomography in Local Hospital (지역병원에서의 전산화단층촬영 검사에 대한 DRL 평가)

  • Choi, Seok-Yoon
    • Journal of the Korean Society of Radiology
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    • v.16 no.5
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    • pp.619-625
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    • 2022
  • In the field of imaging medicine, computed tomography is one of the most common test methods and one of the most frequently used test methods in hospitals. However, it is accompanied by a very high radiation exposure compared to other test methods. In order to reduce exposure, CT scans should be performed only when absolutely necessary, and even if the tests are performed because they are absolutely necessary, a protocol that serves the purpose of the test and allows the test to be performed in a small dose should be used. In this study, we wanted to learn about the most up-to-date radiation dose usage information used by the region's leading general hospitals and develop a diagnostic reference level (DRL). In the experimental results, the Head CT and Abdomen CT tests showed that DLP was higher than the NRPB (U.K) and Korean DRL. The DLP values used by Chest CT were low for all 3 types of CT devices. The hospital found that efforts to reduce exposure should be made during CT examinations, and in particular, Head CT and Abdomen CT determined that efforts to reduce exposure were necessary.

Computed Tomography and Quality Management (컴퓨터단층촬영장치와 품질관리)

  • Cho, Pyong Kon
    • Journal of the Korean Society of Radiology
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    • v.14 no.3
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    • pp.221-233
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    • 2020
  • CT(computed tomography, CT) examinations is one of the most useful diagnostic equipment for identifying information in the human body in diagnostic radiology. Recently, the number of CT scans is increasing every year due to the high reliability of CT scans. Increasing the number of tests will accelerate the aging of CT devices, which is why the importance of quality management for CT devices is on the rise. Particularly in CT, quality management refers to a behavior of figuring out and correcting all sorts of hindrance factors that can cause all the problems related to the equipment associated with the diminishment of diagnosed area due to the reduction of image quality in clinical imaging in advance and maintaining a consistent level of image quality and obtaining a proper image. Here, these researchers aim to summarize and report the general contents of quality management in CT.

Analysis of Attenuation Differences According to Radiolucent and Radiopague Materials : Based on DECT (Dual Energy Computed Tomography) (방사선 투과 및 불투과성 물질에 따른 감약 차이의 분석 : DECT 검사 중심으로)

  • Jang, Hyon-Chol;Kim, Yoon-Shin;Kim, Hyeon-Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.3
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    • pp.1584-1589
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    • 2014
  • This study analyzed CT values of radiolucent and radiopaque materials by energy region after selecting radiolucent and radiopaque materials at random using GE's DECT((Dual Energy Com-puted Tomography) at S University Hospital located in Gyeonggi-province from July through August in 2013. Besides, it drew out the most analogous energy region to the value of 120kVp CT, which is applied to existing SECT(Single Energy Computed Tomography), by utilizing the analysis method of CT values and tried to find out the most useful and appropriate materials when contrast was applied within visible area in clinical application. As a result, there was little decrease of CT value after 90KeV in the case of materials with low density and high moisture content such as normal saline, methyl-cellulose and gels used in ultra-sonic waves test; energy does not influence much on materials with extremely low or high density such as air and contrast medium; methyl-cellulose and gels used in ultra-sonic waves test are considered to be the most useful materials for clinical applications.

Influence of Iodinated Magnetic Resonance Contrast Media and Isotope 99mTc on Changes of Computed Tomography Number

  • Kim, Sang-Beom;Lee, Jin-Hyeok;Ahn, Jae-Ouk;Cho, Jae-Hwan
    • Journal of Magnetics
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    • v.20 no.3
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    • pp.302-307
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    • 2015
  • The purpose of the study was to identify how isotope and magnetic resonance imaging (MRI) contrast media impact on noise to computed tomography (CT) examination. For the study, divide the phantoms to two groups: 1) saline, saline + different kinds of contrast agent without $^{99m}Tc$ administration; 2) $^{99m}Tc$ administration: saline, saline + different kinds of contrast agent with $^{99m}Tc$ administration. CT contrast agent was used for Iopamidol$^{(R)}$ and Dotarem. And MRI contrast agent was used for Primovist$^{(R)}$ and Gadovist$^{(R)}$. To obtain an image, we used CT scanner. With an obtained image, we set the $1cm^2$ region of interest in the middle of bottle to measure the noise and CT number. As a result, there was no difference in CT number before and after inserting $^{99m}Tc$ into all contrast media including Normal Saline. However, when it comes to Noise, there was a difference before and after inserting $^{99m}Tc$ into every contrast media except MRI contrast media such as Primovist$^{(R)}$ and Gadovist$^{(R)}$.

Estimate for Sliced Images by Computed Tomography (Computed Tomography에 의한 절편영상의 추정)

  • Park, Mi-Gyeong;Lee, Ui-Taek
    • Electronics and Telecommunications Trends
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    • v.12 no.6 s.48
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    • pp.50-57
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    • 1997
  • CT스캔(Computed Tomography)은 다양한 분야에서 효과적으로 응용되고 있고, 특히 의학 영상에서 비침범 진단, 수술 계획 등에 커다란 영향을 끼쳤다. 이 글에서는 여러 가지 CT스캔의 종류, 그 수학적인 원리와 기본적인 평행 광선(parallel beam)을 이용한 영상의 재구축 알고리즘, 데이터의 추정과 문제점 그리고 그 개선 방향에 대해 논한다

Unusual Brain Computed Tomography Artifact in Cerebellum Mimicking Hemorrhage: A Case Report (뇌 CT에서 출혈로 오인된 소뇌의 허상: 증례보고)

  • Lee, Jihun;Eom, Ki Seong;Kim, Tae-Young
    • Journal of Trauma and Injury
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    • v.28 no.3
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    • pp.195-197
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    • 2015
  • Artifacts can seriously degrade the quality of computed tomography (CT) images, sometimes to the point of making them diagnostically unusable. Here, we report an unusual CT artifact that could have resulted in the misdiagnosis of a hyperdense hemorrhagic lesion in a 55-year-old man. The author recommend that when hemorrhagic lesion in posterior fossa is suggested on CT, the physician should carefully consider all patient-related clinical data prior to considering surgical intervention or a biopsy. Cranial magnetic resonance imaging (MRI) can help in preventing the misdiagnosis as hemorrhage of CT scan.

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Heart Related Disease: Chest CT Interpretation (흉부 CT 판독 시 보이는 심장 관련 질환)

  • Kim, Mi-Young
    • Tuberculosis and Respiratory Diseases
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    • v.56 no.2
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    • pp.127-143
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    • 2004
  • Computed tomography (CT) plays an important supplementary role in the evaluation of patients with heart disease. CT can be used to evaluate the aorta, pulmonary artery, pulmonary vein, cardiac chambers, coronary artery, valves and systemic veins (superior vena cava, inferior vena cava and hepatic veins). The "Learning Objectives" describe the normal anatomy and typical pathological conditions seen on axial scans and reformatted images from CT in patients with heart disease, focusing focus on frequent, fatal, and rare but characteristic diseases encountered in routine practice.

Application of Artificial Intelligence to Cardiovascular Computed Tomography

  • Dong Hyun Yang
    • Korean Journal of Radiology
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    • v.22 no.10
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    • pp.1597-1608
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    • 2021
  • Cardiovascular computed tomography (CT) is among the most active fields with ongoing technical innovation related to image acquisition and analysis. Artificial intelligence can be incorporated into various clinical applications of cardiovascular CT, including imaging of the heart valves and coronary arteries, as well as imaging to evaluate myocardial function and congenital heart disease. This review summarizes the latest research on the application of deep learning to cardiovascular CT. The areas covered range from image quality improvement to automatic analysis of CT images, including methods such as calcium scoring, image segmentation, and coronary artery evaluation.

Sequential Change of Hypometabolic Metastasis from Non-small-cell Lung Cancer on Brain FDG-PET/CT (연속적인 FDG-PET/CT 검사에서 섭취 감소로 관찰된 비소세포암의 뇌전이)

  • Park, Soon-Ah;Yang, Sei-Hoon;Yang, Chung-Yong;Choi, Keum-Ha
    • Nuclear Medicine and Molecular Imaging
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    • v.43 no.5
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    • pp.505-507
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    • 2009
  • A 60-year-old woman, who had non-small-cell lung cancer (NSCLC) in left lower lobe underwent brain F-18 fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) for evaluation of cerebral metastasis. On follow-up FDG-PET/CT, only hypometaolic lesion was detected and progressed in right frontal lobe at 6 months and 10 months, later. Hypermetabolic metastasis was not detected even at last scan time of FDG-PET/CT. Brain MRI showed brain metastasis in right frontal lobe. As might be expected, the physician should take cerebral metastasis into consideration even though there is only hypometabolic change on subsequent FDG-PET/CT in patients with NSCLC.

Central Venous Catheterization before Versus after Computed Tomography in Hemodynamically Unstable Patients with Major Blunt Trauma: Clinical Characteristics and Factors for Decision Making

  • Kim, Ji Hun;Ha, Sang Ook;Park, Young Sun;Yi, Jeong Hyeon;Hur, Sun Beom;Lee, Ki Ho
    • Journal of Trauma and Injury
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    • v.31 no.3
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    • pp.135-142
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    • 2018
  • Purpose: When hemodynamically unstable patients with blunt major trauma arrive at the emergency department (ED), the safety of performing early whole-body computed tomography (WBCT) is concerning. Some clinicians perform central venous catheterization (CVC) before WBCT (pre-computed tomography [CT] group) for hemodynamic stabilization. However, as no study has reported the factors affecting this decision, we compared clinical characteristics and outcomes of the pre- and post-CT groups and determined factors affecting this decision. Methods: This retrospective study included 70 hemodynamically unstable patients with chest or/and abdominal blunt injury who underwent WBCT and CVC between March 2013 and November 2017. Results: Univariate analysis revealed that the injury severity score, intubation, pulse pressure, focused assessment with sonography in trauma positivity score, and pH were different between the pre-CT (34 patients, 48.6%) and post-CT (all, p<0.05) groups. Multivariate analysis revealed that injury severity score (ISS) and intubation were factors affecting the decision to perform CVC before CT (p=0.003 and p=0.043). Regarding clinical outcomes, the interval from ED arrival to CT (p=0.011) and definite bleeding control (p=0.038), and hospital and intensive care unit lengths of stay (p=0.018 and p=0.053) were longer in the pre-CT group than in the post-CT group. Although not significant, the pre-CT group had lower survival rates at 24 hours and 28 days than the post-CT group (p=0.168 and p=0.226). Conclusions: Clinicians have a tendency to perform CVC before CT in patients with blunt major trauma and high ISS and intubation.