• Progress in Medical Physics
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• v.26 no.3
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• pp.160-167
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• 2015

Radiation exposure from medical diagnostic imaging procedures to patients is one of the most significant interests in diagnostic x-ray system. A miniature x-ray intraoral tube was developed for the first time in the world which can be inserted into the mouth for imaging. Dose evaluation should be carried out in order to utilize such an imaging device for clinical use. In this study, dose evaluation of the new x-ray unit was performed by 1) using a custom made in vivo Pig phantom, 2) determining exposure condition for the clinical use, and 3) measuring patient dose of the new system. On the basis of DRLs (Diagnostic Reference Level) recommended by KDFA (Korea Food & Drug Administration), the ESD (Entrance Skin Dose) and DAP (Dose Area Product) measurements for the new x-ray imaging device were designed and measured. The maximum voltage and current of the x-ray tubes used in this study were 55 kVp, and 300 mA. The active area of the detector was $72{\times}72mm$ with pixel size of $48{\mu}m$. To obtain the operating condition of the new system, pig jaw phantom images showing major tooth-associated tissues, such as clown, pulp cavity were acquired at 1 frame/sec. Changing the beam currents 20 to $80{\mu}A$, x-ray images of 50 frames were obtained for one beam current with optimum x-ray exposure setting. Pig jaw phantom images were acquired from two commercial x-ray imaging units and compared to the new x-ray device: CS 2100, Carestream Dental LLC and EXARO, HIOSSEN, Inc. Their exposure conditions were 60 kV, 7 mA, and 60 kV, 2 mA, respectively. Comparing the new x-ray device and conventional x-ray imaging units, images of the new x-ray device around teeth and their neighboring tissues turn out to be better in spite of its small x-ray field size. ESD of the new x-ray device was measured 1.369 mGy on the beam condition for the best image quality, 0.051 mAs, which is much less than DRLs recommended by IAEA (International Atomic Energy Agency) and KDFA, both. Its dose distribution in the x-ray field size was observed to be uniform with standard deviation of 5~10 %. DAP of the new x-ray device was $82.4mGy*cm^2$ less than DRL established by KDFA even though its x-ray field size was small. This study shows that the new x-ray imaging device offers better in image quality and lower radiation dose compared to the conventional intraoral units. In additions, methods and know-how for studies in x-ray features could be accumulated from this work.

• The Journal of the Korea Contents Association
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• v.19 no.12
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• pp.517-526
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• 2019

The purpose of this study is to find the optimal method for clinical application by analyzing image quality and radiation output according to parameter combination when using the Automatic Exposure Control (AEC). The experimental method combines 70, 81 kVp with sensitivity S200, S400, S800 and S1000 of the Automatic Exposure Control for Entrance Surface Dose (ESD), current volume, Signal to Noise Ratio (SNR), Contrast to Noise Ratio (CNR), Time-to-Radiation Dose Curve in abdomen and pelvis. And then, image quality and radiation output stability were evaluated. As a results, Entrance Surface Dose, current volume, Signal to Noise Ratio, Contrast to Noise Ratio decreased as the tube voltage and sensitivity were set higher. In addition, the higher tube voltage and sensitivity, the Time-to-Radiation Dose Curve showed a poor output stability. In conclusion, the higher the combination of tube voltage and sensitivity in the use of Automatic Exposure Control, the more problems can be seen in image quality and stability of the radiation output. Therefore, a relatively low combination of tube voltage and sensitivity showed that the image quality and radiation output stability could be optimized by minimizing the error range that would occur when the detector recognized a combination of parameters.

• The Journal of the Korea Contents Association
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• v.19 no.4
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• pp.368-380
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• 2019

This study proposes a method to evaluate the performance of a detector by analyzing the dynamic step wedge and histogram according to the change of the tube voltage and sensitivity when using the Automatic Exposure Control (AEC). The performance of a detector was evaluated by measuring X-ray quality, Entrance Surface Dose (ESD), tube current, dynamic range corresponding to detector sensitivities of S200, S400, S800, S1000 per tube voltage of 60, 70, 81, 90 kVp. As a results, all of the qualities satisfied the acceptance criteria, and the Entrance Surface Dose and tube current were decreased stage by stage as sensitivity was set higher. In the dynamic step wedge, the observable dynamic range has also increased as tube voltage became higher. The histogram showed the quantization separation phenomena as the tube voltage was set higher. The higher the sensitivity, the more the underflow and overflow occurred in which the amount of information on both ends of the histogram was lost. In conclusion, the deterioration in the performance of the detector was found to be insufficient to realize the change of the tube voltage and sensitivity when using the Automatic Exposure Control, and it is useful to use dynamic step wedge and histogram in evaluating detector performance evaluation.