• 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 the Korean Society of Radiology
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• v.7 no.3
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• pp.165-173
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• 2013

The purpose of this study is to examine how much the movement at X-ray examinations like breathing or the positioning affects the image during chest or abdomen X-ray examination so as to create an image containing information as much as possible. The study method adopted is doing the X-ray in each of the states including breathing (inspiration & expiration) and movement in the standing chest PA X-ray and simple abdomen X-ray among the kinds of examination selected the most in hospitals and then evaluating them by applying the standards of image evaluation for each region. According to the study result, about the standing chest PA X-ray, the images taken at inspiration contain more information than those taken at expiration or having subtle movement during the examination. About the simple abdomen X-ray, the images taken at expiration contain more information than those taken at inspiration or movement. The above study results imply that regarding general X-ray examination, information we can find from the images may differ significantly according to the region examined, examination purpose, or movement during the examination like breathing.

• 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.45 no.4
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• pp.299-304
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• 2022

This study uses the 'S-align' function to present a reference value of the X-ray tube angle for the realization of an image similar to that of the chest PA image during chest AP radiography. This study targeted dummy phantom and used a 17"×17" DR image receptor. The irradiation conditions were 110 kVp, 160 mA, 50 ms, and the distance between the central X-ray and the image receptor was set to 180 cm and 110 cm, respectively. The end of the catheter was placed at the 11th thoracic height to indicate the nasogastric tube. In the case of lung apex length measurement, the mean value of measurement was 30.53±0.47 in PA. T 0°, TCA 5~25°, TCE 5~15° were 21.07±0.29, 27.60±0.21, 34.13±0.44, 39.86±0.31, 45.96±0.61 mm, 54.13±0.37 mm, 16.16±0.46 mm, 9.81±0.35 mm, 2.75±0.30 mm, respectively. For the depth of the catheter end, the average value measured at PA was 6.70±0.31 mm. T 0°, TCA 5~25°, TCE 5~15° were 15.72±0.38 mm, 24.10±0.50 mm, 29.24±0.86 mm, 34.35±0.35 mm, 41.06±1.08 mm, 48.07±0.38 mm, 12.85±0.25 mm, 7.92±0.36 mm, 3.01±0.39 mm, respectively. The length of the lung apex was similar to that of chest PA when the angle of incidence was adjusted from 5° to 10° in the leg direction, and the depth of the catheter tip was most similar when the X-ray tube angle was incident at 10° in the head direction. Therefore, To change the X-ray tube angle according to the purpose of the examination during the chest AP radiography using 'S-align' function is considered necessary.

• Journal of the Korea Safety Management & Science
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• v.17 no.4
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• pp.207-212
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• 2015

When performing Chest x-ray examination to pregnant woman, normally we shield back side of abdomen. In this situation, scattered rays made by equipment and surrounding structure can enter front side of abdomen. Therefore, in this study, we evaluate suitability of abdomen shield especially to pregnant woman. In case of One shielding material placed back of abdomen, the measured value is $0.676{\pm}0.19uSv/hr$. Two shielding material is $0.764{\pm}0.04uSv/hr$. Three is $0.685{\pm}0.16uSv/hr$. The exposure dose inferred in this study does not excess annual effective dose limit. But It is not mean absolute safety. So we have to minimize occurrence of stochastic effect of radiosensitivity by shielding front side of abdomen of pregnant woman in clinic.

• 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 Chest Surgery
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• v.23 no.3
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• pp.561-565
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• 1990

We experienced thymolipoma which is a rare benign mediastinal tumor, an admixture of atrophic thymic tissue and matured adipose tissue. The patient was, 13 years old boy, admitted due to anterior mediastinal mass on routine chest X-ray and complained of mild exertional dyspnea. The physical examination revealed percussion dullness, decreased breathing sound at right anterior hemithorax. The chest PA and lateral views showed both paracardiac mass density and obliteration of retrosternal clear space. The chest CT Scan showed tubular structure containing of thymic tissue and enhanced fatty tissue, suggested thymolipoma. Operation was performed under the impression of thymolipoma. Through median sternotomy, the huge mass was resected. Grossly, the mass was yellowish fatty colored, measured 15X12X10cm, weighed 600gm. Light microscopic examination showed that thymic tissue containing of Hassal`s corpuscles were surrounded by matured adipose tissue, as the characteristic finding of thymolipoma. The postoperative course was uneventful.

• Journal of Radiation Protection and Research
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• v.28 no.1
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• pp.35-42
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• 2003

Methodology for calculating the organ equivalent doses and the effective doses of pediatric and adult patients undergoing medical X-ray examinations were established. The MIRD-type mathematical phantoms of 4 age groups were constructed with addition of the esophagus to the same phantoms. Two typical examination procedures, chest PA and abdomen AP, were simulated for the pediatric patients as well as the adult as illustrative examples. The results confirmed that patients pick up approximate 0.03 mSv of effective dose from a single chest PA examination, and 0.4 to 1.7 mSv from an abdomen AP examination depending on the ages. For dose calculations where irradiation is made with a limited field, the details of the position, size and shape of the organs and the organ depth from the entrance surface considerably affect the resulting doses. Therefore, it is important to optimize radiation protection by control of X-ray properties and beam examination field. The calculation result, provided in this study, can be used to implement optimization for medical radiation protection.

• 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.

• Tuberculosis and Respiratory Diseases
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• v.43 no.1
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• pp.113-116
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• 1996

A previously healthy 59-year old male patient was admitted due to cough and abnormal chest x-ray. Cough started 5 months ago and persisted. Two months before admission, abnormality in chest PA was detected. He had no symptom other than cough. He was nonsmoker and physical examination revealed no abnormal finding. His chest X-ray showed ill-defined $2{\times}1\;cm$ ovoid infiltration in left middle lung field. On chest computed tomography, it was located in the subpleural region of posterobasal segment of left lower lobe. Mediastinal lymphadenopathy was absent. Blood test and sputum examination were not diagnostic. Fluoroscopy-guided percutaneous needle biopsy revealed pulmonary cryptococcosis. After central nervous system involvement was excluded by spinal tap, oral ketoconazole therapy was started. The lesion decreased in size after 8 weeks of therapy and almost disappeared on follow-up chest X-ray 4 months later.