• Journal of radiological science and technology
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• v.40 no.2
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• pp.179-186
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• 2017

Purpose of this study is present the normal range of cardiac size and cardiothoracic ratio according to patient position(chest PA and AP) and age of Korean adult male on digital chest X - ray, And to propose a mutually compatible conversion rate. 1,024 males were eligible for this study, among 1,300 normal chest patients who underwent chest PA and low-dose CT examinations on the same day at the 'S' Hospital Health Examination Center in Seoul From January to December 2014. CS and CTR were measured by Danzer (1919). The mean difference between CS and CTR was statistically significant (p<0.01) in Chest PA (CS 135.48 mm, CTR 43.99%) and Chest AP image (CS 155.96 mm, CTR 51.75%). There was no statistically significant difference between left and right heart in chest PA and AP images (p>0.05). CS showed statistically significant difference between Chest PA (p>0. 05) and Chest AP (p<0.05). The thorax size and CTR were statistically significant (p<0.01) in both age and chest PA and AP. Result of this study, On Chest AP image CS was magnified 15%, CTR was magnified 17% compare with Chest PA image. CS and CTR were about 10% difference by changing posture at all ages.

• Journal of radiological science and technology
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• v.45 no.3
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• pp.249-254
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• 2022

The purpose of this study was to examine the importance of proper positioning in chest PA X-ray examination. As a study method, this author searched for and analyzed materials related to chest PA X-ray examination from theses and books that had been published previously to understand the importance of proper positioning in chest PA X-ray examination. Generally, one of the examinations frequently done in most of the hospitals is chest PA X-ray examination. Also, in any kinds of X-ray examination, proper positioning is the most fundamental and definite way to provide accurate information about the patient. Poor positioning in chest PA X-ray examination may jeopardize the diagnosis and treatment, increase social cost due to examination needed to be done additionally, and generate additional radiation exposure unnecessarily above all. In conclusion, it is expected that proper positioning in chest PA X-ray examination will exert positive effects such as the provision of accurate information about the patient, prevention of misdiagnosis, reduction in social cost, and lastly decrease in radiation exposure.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.7 no.3
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• pp.355-365
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• 2000

The purpose of this research was to find out the effect of chest physiotherapy on the amount of tracheal secretion and $PaO_2$. After changing position of the neurosurgical patients who had tracheostomy cannula, experimental treatments were applied as bellows, manual chest percussion on groupI, chest percussion and manual chest vibration on groupII, chest percussion and mechanical chest vibration on groupIII were done. After these trials, we have analyzed the efficacy of each procedures comparing the group differences in the quantity of tracheal secretion and $PaO_2$. Target samples were sixty patients aged between 20 to 60 who have tracheostomy state and decreased consciousness status that were admitted in NICU of a university hospital from June 1 to August 31, 1999. They assigned randomly into three experimental groups. To compare the effect of each interventions, tracheal secretion quantify was measured and $PaO_2$ was analyzed via arterial blood gas analyzer. The data were analyzed by ANCOVA of 5% significance level using SPSS P/C program. The results were as bellows. 1) The first hypothesis 'There is a difference In the quantify of the secretion among GroupI, GroupII and GroupIII' was accepted.(F=29.27, p=0.00) 2) The second hypothesis 'There is a difference in $PaO_2$ among GroupI, GroupII and GroupIII' was rejected.(F=1.71, p=0.19) From this study results, positional change and manual chest vibration including chest percussion were the most effective treatment to get maximum amount of tracheal secretion and it was confirmed that mechanical chest vibration also made much better effect than sole chest percussion method. Therefore, we concluded that the mechanical or manual chest vibration with chest percussion is more effective respiratory care method than the sole chest percussion.

• Progress in Medical Physics
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• v.20 no.4
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• pp.199-207
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• 2009

It is important to initialize Image Plate (IP) completely for removing residual latent image by sodium lamp for reliability and repeatability of computed radiography (CR) system. The purpose of this study was to evaluate latent images of computed radiography (CR) images respect to delay time after erasure of foregone latent image and its effect, and erasure level. Erasure thoroughness for CR acceptance test from American Association of Physicist in Medicine (AAPM) Report 93 (2006) was also evaluated. Measurements were made on a CR (Agfa CR 25; Agfa, BELGIUM) system. Chest postero-anterior (PA), Hand PA, L-spine lateral radiographs were chosen for evaluation. Chest phantom (3D-torso; CIRS, USA) was used for Chest PA and L-spine lateral radiography. For Hand PA radiography, projections was done without phantom. Except Hand PA radiographs, noise was increased with delay time, and ghost image was appeared on overexposed area. Effect of delay after erasure on latent image was not seen on naked eye, but standard deviation (SD) of pixel value on overexposed area was relatively higher than that of other areas. On Hand PA and Chest PA radiographs, noise were not occurred by adjustment of erasure level. On L-spine lateral images at lower erasure level than standard level, noise including ghost image were occurred because of high tube current. Erasure thoroughness of CR system in our department was to be proved by these evaluation. The results of this study could be used as a baseline for IP initialization and reliability of CR images.

• Journal of the Korean Society of Radiology
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• v.7 no.3
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• pp.233-238
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• 2013

Chest lateral decubitus radiation exposure PA be carried out in general, but emergency patient or the patient's discomfort in the body examination had a lot of inconvenience. In this study, we compared AP and PA image quality, patient safety, and analysis of the examination effectiveness between the two tests was to evaluate the usefulness. Pleurisy or pneumothorax in patients with suspected or diagnosed chest lateral decubitus radiation exposure 30 consecutive patients (male 20 patients, 10 females) were included in the study. Image quality evaluation method microstructure of lung, wide areas of diagnosis, a clear air-fluid interface, the patient rotate, cardiac shadow and sharp diaphragmatic was based on Department of Radiology specialist, division of pulmonology resident blind test was evaluated by four people. Chest decubitus by radiation exposure the AP and PA position examination the usefulness of comparative analysis Image quality in the AP and PA, whereas there was no significant difference in attitude, Stability of the patient and Radiation's examination efficiency AP position compared to the position of PA scores were higher. PA position does not require a examination may be of AP position in a position to suggest that.

• Journal of Biomedical Engineering Research
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• v.44 no.3
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• pp.167-175
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• 2023

Chest PA is the basic examination of radiographic imaging. Moreover, Chest PA's demands are constantly increasing because of the Increase in respiratory diseases. However, it is not meeting the demand due to problems such as a shortage of radiological technologist, sexual shame caused by patient contact, and the spread of infectious diseases. There have been many cases of using artificial intelligence to solve this problem. Therefore, the purpose of this research is to build an artificial intelligence dataset of Chest PA and to find a posture evaluation method. To construct the posture dataset, the posture image is acquired during actual and simulated examination and classified correct and incorrect posture of the patient. And to evaluate the artificial intelligence posture method, a posture estimation algorithm is used to preprocess the dataset and an artificial intelligence classification algorithm is applied. As a result, Chest PA posture dataset is validated with in over 95% accuracy in all artificial intelligence classification and the accuracy is improved through the Top-Down posture estimation algorithm AlphaPose and the classification InceptionV3 algorithm. Based on this, it will be possible to build a non-face-to-face automatic Chest PA examination system using artificial intelligence.

• Korean Journal of Digital Imaging in Medicine
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• v.13 no.4
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• pp.165-169
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• 2011

The purpose of this study is to compare the measurement result of radiation dose by using standard thoracic phantom and ionization chamber to advice proposal in the shooting condition of chest PA projection at hospitals recently. And to understand the change between radiation dose and resolution in different conditions. The period this study was from August 2010 to September 2010 and the subjects of the study was 3 general hospitals, 4 personal hospitals and 1 laboratory at the college. Finally we study with 6 DR, 1 CR, and 4 F/S equipments. Most hospitals met advice proposal, but some of the hospitals exceed advice dose from the result of our study. We can lower radiation dose about 25% when kVp is lowered about 20% in DR equipment. And we can lower radiation dose about 50% when mAs is lowered about 35%. The image quality was similar to the original in the study. Most hospitals which exceed advice dose were personal hospitals. The reason why it happened is that radiation dose for chest PA projection at personal hospitals is higher than general hospitals and the personal hospitals' equipments are older than general hospitals' equipments. We guess that patients' radiation dose of chest PA projection can be lowered from the result.

• The Journal of the Korea Contents Association
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• v.12 no.7
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• pp.255-260
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• 2012

This study aims to examine the generation of scatter rays by dividing it into the presence of the subject at the chest X-ray examination, the X-ray tube and detector in the X-ray room, the front of the patient window, the outside of the entrance door of the patient waiting room, opening of the entrance door, the outside of the radiological technologist's entrance door, and the opening of the radiological technologist's entrance door, etc. When there is a subject, as the subject is thicker, more scatter rays occur at each of the spots for measurement. And when the entrance door is closed at the measurement, fewer scatter rays are generated.

• Journal of radiological science and technology
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• v.41 no.1
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• pp.1-6
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• 2018

The purpose of this study is to provide baseline data on lung field size measured radiological method by chest PA image in normal Korean. The subject of this study is 496 normal persons who performed chest PA examination using x-ray digital radiography system. The measurement method is from the apex of right and left lung to the costophrenic angle of both lung, from the top of the image to the lowest costophrenic angle of both lung and transverse line of the largest lung area. As a result of this study, the following conclusions were obtained. A lung field size of male is larger than the female(p<0.05). The younger the age, the longer both lung length and total lung height statistically significant. As a increase height and length, A lung field size was increased(p<0.05). But, BMI is not associated with a lung field size. This study will be data of reference data when radiological technologists perform chest PA examination.

• Journal of the Korean Society of Radiology
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• v.17 no.4
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• pp.573-579
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• 2023

This study compares dose difference between the presence or absence of grid in Chest PA radiography using auto exposure control and compares image quality among presence, absence or virtual grid, and proposes a new clinically useful grid combination for chest radiography. The human body phantom was placed Chest PA position and the dosimeter was placed at T6. The same irradiation conditions and field size were applied. 30 images were obtained in the state in which grid was applied and in the state in which grid was not applied, and an additional 30 images in which the virtual grid was applied to the image without the grid were obtained. Radiation dose was presented to entrance surface dose. The image quality was analyzed by comparing the signal-to-noise and contrast-to-noise ratio. ESD decreased by 48% when the grid was not used, compared to when the grid was used. SNR and CNR increased by 32% and 30% compared to grid use when grid was not used, respectively. In the case of using the virtual grid, it increased by 18% and 16% respectively, compared to the case of using the grid. As a result of this study, it is believed that when using a virtual grid instead of a grid, the quality of the image can be maintained while reducing the patient dose.