• Journal of the Korean Society of Radiology
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• v.13 no.7
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• pp.941-946
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• 2019

Computed tomography (CT) has been increasing in frequency and indications for use in clinical diagnosis and treatment decisions. Multidetector CT has the advantage of shortening the inspection time and obtaining a high resolution image compared to a single detector CT, but has been pointed out the disadvantage of increasing the radiation exposure. In addition, when the low tube voltage is used to reduce the exposure dose in the CT, noise increases relatively. In the existing method, the method of finding the optimal image quality using the method of adjusting the parameters of the image reconstruction method is not a fundamental measure. In this study, we applied a double-tree complex wavelet algorithm and analyzed the results to maintain the normal signal and remove only noise. Experimental results show that the noise is reduced from 8.53 to 4.51 when using a complex oriented 2D method with 100kVp and 0.5sec rotation time. Through this study, it was possible to remove the noise and reduce the patient dose by using the optimal noise reduction algorithm. The results of this study can be used to reduce the exposure of patients due to the low dose of CT.

• Journal of the Korean Society of Radiology
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• v.11 no.1
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• pp.63-68
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• 2017

To reduce the exposure dose in head CT, the use of low tube voltage is required. However, increasing noise may cause errors in the second data processing. In this study, we proposed a method to reduce noise by using low tube voltage. Experimental results show that the noise level is high at 100kVp and lowest at 140 kVp. The dose was lower at 100 kVp and higher at 140 kVp. As a result of applying the wavelet according to the threshold value, the noise value in the wavelet Th30 decreased to 4.51. Using the parameter condition(100 kVp, rotation time 0.5 sec, dose: 40.64 mGy) and the wavelet Th 30, the dose reduction of 65.3% was possible. We believe that applying the proposed method to head CT images will help to patient safety and interpret accurate information.

• Journal of Radiation Industry
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• v.12 no.4
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• pp.267-276
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• 2018

A Hoffman 3D Brain Phantom was used to evaluate two PET/CT scanners, BIO_40 and D_690, according to the radiation dose of CT (low, medium and high) at a fixed kilo-voltage-peak (kVp) with the tube current(mA) varied in 17~20 stages(Bio_40 PET/CT scanner: the tube voltage was fixed to 120 kVp, the effective tube current(mAs) was increased from 33 mAs to 190 mAs in 10 mAs increments, D_690 PET/CT scanner: the tube voltage was fixed to 140 kVp, tube current(mA) was increased from 10 mAs to 200 mAs in 10 mAs increments). After obtaining the PET image, an attenuation correction was conducted based on the attenuation map, which led to an analysis of the difference in the image. First, the ratio of white to gray matter for each scanner was examined by comparing the coefficient of variation (CV) depending on the average ratio. In addition, a blind test was carried out to evaluate the image. According to the study results, the BIO_40 and D_690 scanners showed a <1% change in CV value due to the tube current conversion. The change in the coefficients of white and gray matter showed that the Z value was negative for both scanners, indicating that the coefficient of gray matter was higher than that of white matter. Moreover, no difference was observed when the images were compared in a blind test.

• Journal of the Korean Society of Radiology
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• v.13 no.2
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• pp.169-174
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• 2019

This study examines the changes that $^{99m}Tc$ causes to CT(Computed Tomography) images quantitatively when CT scans were continuously performed using $^{99m}Tc$. With the use of the CT, $^{99m}Tc$ 740MBq was injected into the Resolution Phantom and Water Phantom, and the tube voltage was changed with 80 kVp and 120 kVp, scanning before and after the injection. The result indicate, by comparing the Signal Intensity according to the presence or absence of the $^{99m}Tc$ injection with the tube voltage of 120 kVp and 80 kVp, a decrease of 0.173 and 0.241 was observed respectively and the spatial resolution increase of 0.090 and 0.109 was observed respectively. The order of the test should be considered because the gamma rays of the radiopharmaceutical used in the nuclear medicine test do not affect the CT while the effective half-life of the radiopharmaceuticals should be considered for the CT scan to reduce the influence of the gamma rays emitted after the nuclear medicine test, with the possibility to reduce the difference of the results.

• Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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• 2008.11a
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• pp.22-23
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• 2008

The conventional IGBT has two problems to make the device taking high performance. The one is high on state voltage drop associated with JFET region, the other is low breakdown voltage associated with concentrating the electric field on the junction of between p base and n drift. This paper is about the structure to effectively improve both the lower on state voltage drop and the higher breakdown voltage than the conventional IGBT. For the fabrication of the circular trench IGBT with the circular trench layer, it is necessary to perform the only one wet oxidation step for the circular trench layer. Analysis on both the on state voltage drop and the Breakdown voltage show the improved values compared to the conventional IGBT structure. Because the circular trench layer disperses electric field from p base and n drift junction to circular trench, the breakdown voltage increase. The on state voltage drop decrease due to reduction of JFET region and direction change of current path which pass through reversed layer channel.

• Journal of Radiation Protection and Research
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• v.35 no.4
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• pp.135-141
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• 2010

Purpose : The patients who visited this department for pulmonary disease and need CT scans for Follow-up to observe change of CT value, evaluation of image quality and decrease of radiation dose as change of kVp. Subjects and Methods : Subjects were the patients of 20 persons visited this department for pulmonary disease and Somatom Sensation 16(Semens, Enlarge, Germany) was used. Measurement of CT value as change of kVp was done by setting up ROI diameter of 1cm at the height of thyroid, aortic arch, right pulmonary artery in arterial phase image using 100 kVp, measuring 3 times, and recorded the average. CT value of phantom was measured by scanning phantoms which means contrast media diluted by normal saline by various ratio with tube voltage of 80 kVp, 100 kVp, 120 kVp, 140 kVp and recorded the average of 3 CT values of center of phantom image. In analysing radiation dose, CTDIVOL values of the latest arterial phase image of 120 kVp and as this research set that of 100 kVp were analyzed comparatively. 2 observers graded quality of chest images by 5 degrees (Unacceptable, Suboptimal, Adequate, Good, Excellent). Results : CT value of chest image increased at 100 kVp by 14.06%~27.26% in each ROI than 120 kVp. CT value of phantom increased as tube voltage lowered at various concentration of contrast media. CTDIVOL decreased at 100 kVp(5.00 mGy) by 36% than 120 kVp(7.80 mGy) in radiation dose analysis. here were 0 Unacceptable, 1 Suboptimal, 3 Adequate, 10 Good, 6 Excellent in totally 20 persons. Conclusion : Chest CT scanning with low kilo-voltage for patients who need CT scan repeatedly can bring images valuable for diagnose, and decrease radiation dose against patients.

• Journal of the Korean Society of Radiology
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• v.17 no.7
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• pp.1041-1047
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• 2023

Temporal bone CT, which is a high-resolution CT, uses a high tube voltage and a thin section thickness, so the scan dose is higher than that of adjacent areas. Accordingly, we applied changes to the reconstruction algorithm among the test conditions to find an algorithm with excellent sensitivity to lesions while reducing the test dose, and investigated its significance and the possibility of providing basic clinical data. As a result, when the tube voltage was lowered to 100 kVp and applied, the dose was reduced by about 35.6%, and when the definition algorithm was applied to the raw data acquired at 100 kVp, the SNR and CNR were excellent, and a statistically significant difference was shown when compared to other algorithms(p<0.05). And as a result of comparing structural similarity, the SSIM index was analyzed as 0.776, 0.813, and 0.741 for each ROI. Therefore, we believe that applying algorithm changes to temporal bone CT scans can partially reduce the dose generated from CT scans and are very meaningful in terms of basic clinical data.

• Progress in Medical Physics
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• v.21 no.1
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• pp.1-8
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• 2010

In this study, we evaluated the dose response of MAGAT (Methacrylic Acid Gelatin gel and THPC) normoxic polymer gel dosimeters based on the X-ray CT scanner. To perform this study, we determined the proper ratio of the gel composition and acquired X-ray scan parameters. MAGAT gel dosimeters were manufactured using MAA (MethacrylicAcid) and gelatin of various concentration, irradiated up to 20 Gy. We obtained the 20 CT images from the irradiated gel dosimeters by using on a Phillips Brilliance Big Bore CT scanner with the various scan parameters. This CT images were used to determine the $N_{CT}$-dose response, dose sensitivity and dose resolution As an amount of MAA and gelatin were increase, the slope and intercept were increase in each MAGAT gel dosimeter with various concentration of the $N_{CT}$-dose response curve. The dose sensitivity was $0.38{\pm}0.08$ to $0.859{\pm}0.1$ and increased were amount of the MAA was increased or the gelatin was decreased. However, the change of gelatin concentration was very small compare to MAA. The Dose resolution ($D_{\Delta}^{95%}$) varies considerably from 2.6 to 6 Gy, dependent on dose resolution and CT image noise. The slope and dose sensitivity was almost ident verywith the variation of the tube voltage, tube current and slice thickness in the dose response curve, but the noise (standard deviation of averamalg CT number) was decreased when the tube voltage, tube current and slice thickness are increase. The optimal MAGAT polymer gel dosimeter based on the CT were evaluated to determine the CT imaging scan parameters of the maximum tube voltage, tube current and slice thickness (commonly used in clinical) using the composition ratio of a 9% MAA, 8% gelatin and 83% water. This study could get proper composition ratio and scan parameter evaluating dose response of MAGAT normoxic polymer gel dosimeter using CT scanner.

• Journal of the Korean Society of Radiology
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• v.12 no.2
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• pp.185-191
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• 2018

The purpose of this study was to evaluate the usefulness of BMI application to Urography CT by applying different tube voltages in accordance with body mass index. Group A (n = 38) with body mass index of lower than 25 was examined with tube voltage of 100 kVp while Group B (n = 45) with a BMI of 25 and higher was examined with tube voltage of 120 kVp. C group (n = 37) with body mass index (BMI) of lower than 25 was examined with tube voltage of 120kVp. Although the difference in average dose between group A (100 kVp) and group C (120 kVp) with low body mass index (BMI) of lower than 25 was $214.8mGy{\cdot}cm$, there was no significant difference in qualitative evaluation and, compared with patient group with body mass index of 25 and higher, results obtained were rather good. Therefore, this study verified that the tube voltage of lower than 100 kVp does not have adverse effect on the quality of image for patients with body mass index (BMI) of lower than 25.

• Progress in Medical Physics
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• v.32 no.3
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• pp.59-69
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• 2021

Purpose: The relationship between computed tomography (CT) number and electron density (ED) has been investigated in previous studies. However, the role of these measures for guiding cancer treatment remains unclear. Methods: The CT number was plotted against ED for different imaging protocols. The CT number was imported into ED tables for the Pinnacle treatment planning system (TPS) and was used to determine the effect on dose calculations. Conversion tables for radiation dose calculations were generated and subsequently monitored using a dosimeter to determine the effect of different CT scanning protocols and treatment sites. These tables were used to retrospectively recalculate the radiation therapy plans for 41 patients after an incorrect scanning protocol was inadvertently used. The gamma index was further used to assess the dose distribution, percentage dose difference (DD), and distance-to-agreement (DTA). Results: For densities <1.1 g/cm³, the standard deviation of the CT number was ±0.6% and the greatest variation was noted for brain protocol conditions. For densities >1.1 g/cm³, the standard deviation of the CT number was ±21.2% and the greatest variation occurred for the tube voltage and head and neck (H&N) protocol conditions. These findings suggest that the factors most affecting the CT number are the tube voltage and treatment site (brain and H&N). Gamma index analyses for the 41 retrospective clinical cases, as well as brain metastases and H&N tumors, showed gamma passing rates >90% and <90% for the passing criterion of 2%/2 and 1%/1 mm, respectively. Conclusions: The CT protocol should be carefully decided for TPS. The correct protocol should be used for the corresponding TPS based on the treatment site because this especially affects the dose distribution for brain metastases and H&N tumor recognition. Such steps could help reduce systematic errors.