• 대한안전경영과학회지
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• 제6권3호
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• pp.87-97
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• 2004

The National Health Insurance Act, the Industrial Health Act and the School Health Act require chest radiography at least once a year. In chest radiographic examination, most group examinations use indirect X-ray primarily aiming at diagnosing diseases and enhancing people's health. This study purposed to minimize radiation exposure dose by comparing it between direct and indirect chest X-ray studies. According to the result of comparing and analyzing radiation exposure dose, the average incident dose and penetrating dose were 0.929μGy and 0.179μGy respectively in direct chest X-ray and 6.807μGy and 1.337μGy in indirect chest X-ray In order to minimize radiation exposure dose at direct and indirect chest X-ray, indirect X-ray should be excluded from group examination if possible. Moreover, it is necessary to control the quality of equipment (Q/A & Q/C) systematically and to avoid using unqualified equipment in order to reduce radiation exposure dose.

• 대한방사선기술학회지:방사선기술과학
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• 제45권3호
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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.

• 대한방사선기술학회지:방사선기술과학
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• 제46권4호
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• pp.287-294
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• 2023

This study was conducted to ultimately reduce unnecessary radiation exposure by emphasizing the need and importance of correct positioning by examining the positioning relationship of anatomical structures in the human body and changes in X-ray images according to changes in patient positioning during the left lateral chest X-ray examination. This study investigated and analyzed previously published papers and books on the left lateral chest X-ray examination to find out the importance of positioning in the left lateral chest X-ray examination. To find out the importance of correct positioning in the left lateral chest X-ray, we compared three images of incorrectly positioned right thorax and left thorax rotated forward and the lower median surface of the body leaning against the image receptor. In the left lateral chest examination, a distorted image was obtained in which the shape of the anatomical structure observed in the image was changed according to the presence or absence of rotation of the patient and the inclination of the median visual surface. X-ray images with the most accurate and large amount of information were obtained from X-ray images with the correct positioning performed during left lateral chest X-ray examination. Therefore, It is believed that the left lateral chest X-ray examination will have beneficial effects such as providing accurate medical information, preventing misdiagnosis, reducing social costs, and ultimately reducing radiation exposure.

• Tuberculosis and Respiratory Diseases
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• 제40권4호
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• pp.353-356
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• 1993

Advent of new imaging modalities such as computed tomography, magnetic resonance imaging and ultrasound contributed greately to the specific imaging diagnosis. However plain chest X-ray is still most prequently used for imaging diagnosis of respiratory disease in clinical pratic and it is important to make a good quality of X-ray film and good interpretation. The optimal chest X-ray should be taken with full inspiration without rotation and motion and the exposure is at the level of barely demonstrable thoracic vertebral disc space. It is recommended that higk KVP technique for detection of lesions which is overlaped by mediastinum, heart and rib cage. It is better to examine chest X-ray film start at some distance(6-8 feet) and closer to the film later on and the reader should not read a film in fatigue condition. The reading room should be quiet and relately dark illumination. It is important, to make a good X-ray film and good interpretation to reduce the observer error.

• 정보처리학회논문지:소프트웨어 및 데이터공학
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• 제12권6호
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• pp.243-250
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• 2023

흉부 X-ray 영상은 폐와 심장을 검사하는 방사선 검사이며 특히, 폐 질환을 진단하는 데 널리 사용되고 있다. 이러한 흉부 X-ray의 품질은 의사의 진단에 영향을 줄 수 있으므로 품질을 평가하는 과정이 필수적으로 거쳐야 하는데, 이 과정은 영상의학과 전문의의 주관이 개입될 수 있고, 수작업으로 이루어지기 때문에 많은 시간과 비용이 소모된다. 또한, 이러한 품질평가는 X-ray 영상의 특징과 사용 목적에 따라 일반적인 품질평가와는 다른 평가 요소가 필요하다. 따라서 본 논문에서는 X-ray 영상에서 검출되는 장기의 해상도, ,해부학적인 구조, 균형 등을 고려하여 임상 현장에서 사용되는 흉부 X-ray 영상 화질 평가 가이드라인을 적용하여 품질요소를 5가지(인공음영, 포함범위, 환자자세, 흡기정도, 그리고 투과상태)로 나누고 이를 자동화하는 도구를 제안한다. 제안하는 도구는 수작업으로 품질평가를 진행하는 본래의 방식 대비 소요 시간과 비용을 줄여주고, 더 나아가 흉부 X-ray를 이용한 학습 모델 개발에 높은 품질의 학습데이터를 선별하는 과정에도 사용될 수 있다.

• 한국콘텐츠학회논문지
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• 제12권7호
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• pp.255-260
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• 2012

흉부 X-선 촬영 시 피사체의 유무, 촬영실내 X선관과 수광계 (image receptor), 환자 보기창 앞, 환자대기실 출입문 외측, 출입문 개폐여부, 방사선 관계 종사자 출입문 외측, 방사선 관계 종사자 출입문 개폐여부 등으로 구분하여 공간산란선발생을 알아보기 위한 연구로 공간산란선발생에 대한 연구 결과 피사체가 있을 때 수광계 (image receptor) 위치; Chest PA: $663{\pm}3.4$ mR/h, Chest Lateral: $2,067{\pm}3.7$ mR/h, X선관 위치; Chest PA: $293{\pm}2.1$ mR/h, Chest Lateral: $927{\pm}1.9$ mR/h, 환자대기실 출입문 외측 열고; Chest PA: $17{\pm}1.6$ mR/h, Chest Lateral: $88{\pm}2.6$ mR/h, 방사선 관계 종사자 촐입문 외측 열고; Chest PA: $3{\pm}1.6$ mR/h, Chest Lateral: $19{\pm}1.6$ mR/h), 피사체의 두께가 두꺼울수록 각 각의 측정지점에서 산란선 발생이 많았고, 출입문을 닫고 측정한 경우 산란선이 더 적었다. 그러므로 방사선 관계종사자는 촬영실내 산란선 분포에 대한 정확한 정보를 인지하여 불필요한 방사선 피폭을 줄일 수 있도록 노력해야 한다.

• 대한한방내과학회지
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• 제42권4호
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• pp.622-627
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• 2021

Objective: This study was designed to analyze the utility of routine chest X-ray on Korean medicine hospital admission. Methods: The chest X-ray reports and medical records of 618 patients who were admitted to Daejeon Korean Medicine Hospital from May 1, 2021 to June 30, 2021 were retrospectively reviewed. Results: Of the 618 patients newly hospitalized from May 1, 2021 to June 30, 2021, 560 patients (excluding readmission) were analyzed. The mean age of 560 patients was 53.26±17.20 years. There were 52 patients with abnormal findings, and their mean age was 69.62±15.59 years. Many of these patients had chest symptoms and a history of chest disease. There was no case that showed a significant diagnostic result by chest X-ray examination. Conclusion: The diagnostic usefulness of routine chest X-rays in Korean medicine hospital admission is low. But this does not mean that there is no need to perform routine chest X-rays upon admission.

• 한국방송∙미디어공학회:학술대회논문집
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• 한국방송공학회 2015년도 하계학술대회
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• pp.538-539
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• 2015

일반 영상의 화질을 개선하기 위해 다양한 알고리즘이 존재한다. 하지만 X-ray 영상의 경우 일반 영상과 특성이 다르기 때문에 기존의 화질 개선 알고리즘으로는 진단에 적합한 화질을 얻을 수 없다. 디지털 X-ray 기기로부터 처음 획득된 X-ray 영상은 데이터 범위가 일반 영상에 비해 넓고 밝기 레벨이 고르지 못하다. 특히 Chest X-ray 영상의 경우 다양한 이유로 촬영하기 때문에 갈비뼈와 혈관, 척추 뼈 등 특성이 다른 모든 부위들을 자연스럽게 개선할 필요가 있다. 본 논문은 영상의 불필요한 배경 성분을 제거하여 특정 밝기에 밀집되어 있는 데이터들의 히스토그램 범위를 확장시키고 주파수 대역 별 가중치를 조절하여 대비 및 선명도를 향상시킨다. 마지막으로 전역적 대비 개선 기법과 지역적 대비 개선 기법의 장점을 취하여 진단에 적합하도록 개선된 Chest X-ray 영상을 얻는다.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제16권7호
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• pp.2131-2153
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• 2022

To achieve accurate detection of tuberculosis (TB) areas in chest radiographs, we design a chest X-ray TB area detection algorithm. The algorithm consists of two stages: the chest X-ray TB classification network (CXTCNet) and the chest X-ray TB area detection network (CXTDNet). CXTCNet is used to judge the presence or absence of TB areas in chest X-ray images, thereby excluding the influence of other lung diseases on the detection of TB areas. It can reduce false positives in the detection network and improve the accuracy of detection results. In CXTCNet, we propose a channel attention mechanism (CAM) module and combine it with DenseNet. This module enables the network to learn more spatial and channel features information about chest X-ray images, thereby improving network performance. CXTDNet is a design based on a sparse object detection algorithm (Sparse R-CNN). A group of fixed learnable proposal boxes and learnable proposal features are using for classification and location. The predictions of the algorithm are output directly without non-maximal suppression post-processing. Furthermore, we use CLAHE to reduce image noise and improve image quality for data preprocessing. Experiments on dataset TBX11K show that the accuracy of the proposed CXTCNet is up to 99.10%, which is better than most current TB classification algorithms. Finally, our proposed chest X-ray TB detection algorithm could achieve AP of 45.35% and AP50 of 74.20%. We also establish a chest X-ray TB dataset with 304 sheets. And experiments on this dataset showed that the accuracy of the diagnosis was comparable to that of radiologists. We hope that our proposed algorithm and established dataset will advance the field of TB detection.

• Journal of information and communication convergence engineering
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• 제13권4호
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• pp.264-269
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• 2015

The chest X-ray image cannot be focused in the same manner that optical lenses are and the resultant image generally tends to be slightly blurred. Therefore, the methods to improve the quality of chest X-ray image have been studied. In this paper, the inherent noises of the input images are suppressed by adding the Laplacian image to the original. First, the chest X-ray image using an Gaussian high pass filter and an optimal high frequency emphasis filter has shown improvements in the edges and contrast of flat areas. Second, using fuzzy logic_histogram equalization, each pixel of the chest X-ray image shows the normal distribution of intensities that are not overexposed. As a result, the proposed method has shown the enhanced edge and contrast of the images with the noise canceling effect.