• Title/Summary/Keyword: PACS (Radiology)

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Assesment Of Image Quality in the Abdominal Magnetic Resonance Imaging: Comparison with 1.5 T and 3.0 T (복부 자기공명영상에서 영상의 질 평가: 1.5 T 와 3.0 T 비교)

  • Goo, Eun-Hoe
    • Journal of the Korean Society of Radiology
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    • v.10 no.5
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    • pp.367-373
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    • 2016
  • This study conducted an analysis to compare the differences in the properties of the magnetic field and the generation of artifacts because of the difference in the magnetic field between 1.5 T equipment and 3.0 T equipment, centering around four types of pulse sequences, mainly applied to the abdominal Magnetic Resonance Imaging (MRI). With data on 500 persons transmitted to the PACS, this study analyzed the SNR value, quantitatively and carried out a qualitative evaluation, dividing MSA, CSA, and DA into three steps. As a result of the quantitative evaluation, the SNR value was significantly higher in the 1.5 T equipment; however, there was a factor deteriorating the image quality, too, as artifacts were generated in the images. The 1.5 T equipment generated fewer artifacts than the 3.0 T equipment did, so it could compensate the image quality for 3.0 T. In conclusion, based on these findings, this study could understand the differences in the properties of the magnetic field and the generation of artifacts occurring because of the difference in the magnetic field and could provide a measure for them. This study would be guidelines for MRI users who directly examine the patients in abdominal MRI using the two types of equipment in the clinical setting in the future.

Decision on Compression Ratios for Real-Time Transfer of Ultrasound Sequences

  • Lee, Jae-Hoon;Sung, Min-Mo;Kim, Hee-Joung;Yoo, Sun-Kwook;Kim, Eun-Kyung;Kim, Dong-Keun;Jung, Suk-Myung;Yoo, Hyung-Sik
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.489-491
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    • 2002
  • The need for video diagnosis in medicine has been increased and real-time transfer of digital video will be an important component in PACS and telemedicine. But, Network environment has certain limitations that the required throughput can not satisfy quality of service (QoS). MPEG-4 ratified as a moving video standard by the ISO/IEC provides very efficient video coding covering the various ranges of low bit-rate in network environment. We implemented MPEG-4 CODEC (coder/decoder) and applied various compression ratios to moving ultrasound images. These images were displayed in random order on a client monitor passed through network. Radiologists determined subjective opinion scores for evaluating clinically acceptable image quality and then these were statistically processed in the t-Test method. Moreover the MPEG-4 decoded images were quantitatively analyzed by computing peak signal-to-noise ratio (PSNR) to objectively evaluate image quality. The bit-rate to maintain clinically acceptable image quality was up to 0.8Mbps. We successfully implemented the adaptive throughput or bit-rate relative to the image quality of ultrasound sequences used MPEG-4 that can be applied for diagnostic performance in real-time.

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A Study of Digitalizing Analog Gamma Camera Using Gamma-PF Board (Gamma-PF 보드를 이용한 아날로그 감마카메라의 디지털화 연구)

  • Kim, Hui-Jung;So, Su-Gil;Bong, Jeong-Gyun;Kim, Han-Myeong;Kim, Jang-Hwi;Ju, Gwan-Sik;Lee, Jong-Du
    • Journal of Biomedical Engineering Research
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    • v.19 no.4
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    • pp.351-360
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    • 1998
  • Digital gamma camera has many advantages over analog gamma camera. These include convenient quality control, easy calibration and operation, and possible image quantitation which results in improving diagnostic accuracies. The digital data can also be utilized for telemedicine and picture archiving and communication system. However, many hospitals still operate analog cameras and have difficult situation to replace them with digital cameras. We have studied a feasibility of digitalizing an analog gamma camera into a digital camera using Gamma-PF interface board. The physical characteristics that we have measured are spatial resolution, sensitivity, uniformity, and image contrast. The patient's data obtained for both analog and digital camera showed very similar image quality. The results suggest that it may be feasible to upgrade an analog camera into a digital gamma camera in clinical environments.

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Study on Oneself Developed to Apparatus Position of Measurement of BMD in the Distal Radius (자체 개발한 보조기구로 원위 요골의 골밀도 측정 자세 연구)

  • Han, Man-Seok;Song, Jae-Yong;Lee, Hyun-Kuk;Yu, Se-Jong;Kim, Yong-Kyun
    • Journal of radiological science and technology
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    • v.32 no.4
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    • pp.419-426
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    • 2009
  • Purpose : The aim of this study was to evaluate the difference of bone mineral density according to distal radius rotation and to develop the supporting tool to measure rotation angles. Materials and Methods : CT scanning and the measurement of BMD by DXA of the appropriate position of the forearm were performed on 20 males. Twenty healthy volunteers without any history of operations, anomalies, or trauma were enrolled. The CT scan was used to evaluate the cross sectional structure and the rotation angle on the horizontal plane of the distal radius. The rotational angle was measured by the m-view program on the PACS monitor. The DXA was used in 20 dried radii of cadaveric specimens in pronation and supination with five and ten degrees, respectively, including a neutral position (zero degrees) to evaluate the changes of BMD according to the rotation. Results : The mean rotation angle of the distal radius on CT was 7.4 degrees of supination in 16 cases (80%), 3.3 degrees of pronation in three cases (15%), and zero degree of neutral in one case (9%), respectively. The total average rotation angle in 20 people was 5.4 degrees of supination. In the cadaveric study, the BMD of the distal radius was different according to the rotational angles. The lowest BMD was obtained at 3.3 degrees of supination. Conclusion : In the case of the measurement of BMD in the distal radius with a neutral position, the rotational angle of the distal radius is close to supination. Pronation is needed for the constant measurement of BMD in the distal radius with the rotation angle measuring at the lowest BMD and about five degrees of pronation of the distal radius is recommended.

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A study on performance evaluation of Apron by shielding rate and uniformity (방사선방어용앞치마(Apron)의 차폐율과 균일성 측정을 통한 성능평가 연구)

  • Yoo, Se-Jong;Lim, Chang-seon;Sim, Kyu-ran
    • Journal of the Korea Safety Management & Science
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    • v.17 no.1
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    • pp.103-109
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    • 2015
  • In this study, we quantitatively analyzed the data by measuring the radiation shielding rate and uniformity in order to evaluate the performance of an Apron. In addition, storage conditions were also evaluated. The uniformity measurement was performed by evaluating the Apron DICOM images using a PACS program. The experiment was intended for 51 Aprons being used in three hospitals in the Daejeon area. The radiation shielding rate and uniformity were measured per lead equivalent for 0.25 mmPb, 0.35 mmPb, and 0.5 mmPb. As a result, the higher lead equivalents were, the greater differences in the non-uniformity between the top part and the bottom part became (p=0.020). In all hospitals, regarding the non-uniformity of four places in Aprons, all showed statistically significant differences (p<0.01). The average value of the transmitted radiation dose showed less difference (p=0.005) in the bottom right than in the upper right but was statistically significant. There have been no marks of manufacturing date or the date of purchase in the Apron.

Dose and Image Assessment according to Radiologic Factors Variation at Digital Humerus X-ray Examination (디지털 환경에서 Humerus 검사 시 촬영인자 변화에 따른 선량 및 화질 평가)

  • Kim, Seong Min;Hong, Seon Sook;Lee, Kwan Sup;Ha, Dong Yun
    • Korean Journal of Digital Imaging in Medicine
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    • v.14 no.2
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    • pp.1-8
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    • 2012
  • Purpose : We aim at presenting the optimum radiologic factor through the evaluation of dose variation and of image quality through the use of a grid in Humerus examination and the change of dose because of the change of radiologic factor. Materials and Methods : We divided it in 3 cases: when using a grid or not and when using IP(Image Plate) in a digital system. Also, as fixing kVp to 70kVp it changed mAs, and fixing mAs to 10 it changed kVp, we put up resolution chart and Burger rose phantom on the acrylic phantom of 7cm (the same level of Humerus) to evaluate the dose and image. We used Image J program to evaluate the quantitative resolution of the obtained image, and made the qualitative evaluation and statistical analysis of the image saved in PACS for 20 radiologic technologist with more than 10 years of experience in order of evaluate its contrast. We used SPSS10(SPSS Inc. Chicago, Illinois) for statistical analysis. Results : We observed the analytic result of resolution by the change of kVp that it was $4.539dGycm^2$ in 60kVp and $757.472dGycm^2$ in 75kVp, which increased about 64.6% of dose, while for the resolution it had the pixel value 30.7% better with 851 in 60kVp than 651 in 75kVp. Also, we analyzed the result of resolution by the change of mAs that it was $3.106dGycm^2$ in 5mAs, and $12.470dGycm^2$ in 20mAs, which increased about 400% of dose, while for the resolution DR had 678 in 5mAs, and 724 in 20mAs that increased about 6.8% of resolution. We made the qualitative evaluation of contrast by the change of kVp that DR showed the higher quality than CR, but the contrast by the change of kVp had no special different at the moment of visual evaluation, nor statistically significant difference(P>0.05). We observed the qualitative evaluation of contraste by the change of mAs that the contrast increased as DR increased mAs, and had statistically significant difference(P<0.05). On the other hand, CR had no significant difference for more than 10mAs nor statistically significant difference(P>0.05). Conclusion : In case of some patients with radiographic exposure by the repeated examination such as emergent patient or Follow up patient, they are considered to try to limit the use of a grid, to set kVp under 65kVp in fixed mode, to select less than 10mAs and to reduce the possibility of patient being bombed.

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The shoulder diagnosis Scapula study of patients who visited the hospital (병원 내원한 환자 견갑골(scapula) 진단을 위한 연구)

  • Ahn, Byeong-Ju;Lee, Jun-Haeng
    • Journal of the Korean Society of Radiology
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    • v.4 no.2
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    • pp.13-20
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    • 2010
  • True lateral scapula image was very important to diagnosis the scapula fracture and dislocation induced by traumatic injury. The aim of this study was to know the patient rotation angle to be showing the scapula true lateral in korean. d Materials Thirty patients(22men, 8 women, mean ages 53.4)with scapular pain, had supine Anteroposterior projection taken with $30^{\circ}$, $40^{\circ}$, $45^{\circ}$ trunk rotation angle changing the manual angulation material. Radiographs were evaluated independently by 5 experienced observers(1 orthopedics surgery specialist, 1 diagnostic radiology specialist, 3 radiological technologist) They assessed overlap of vertebral border and axillary border of scapula as follows; Totally overlapping of vertebral border and axillary border is 4, partially overlapping is 3, not overlapping is 2 and oblique location with two borders is 1. All observers scored using by PACS monitor.$30^{\circ}$ trunk rotation was scored $1.53{\pm}0.39$, $40^{\circ}$ trunk rotation was scored $3.83{\pm}0.15$ and $45^{\circ}$ trunk rotation was scored $2.17{\pm}0.43$. There was no difference(p<0.05) between group of more than 100cm of the girth of the chest and group of less than 100cm. Similarly, men and women group showed no difference(p<0.05) with trunk rotation statistically. There was no result of trunk rotation angle to radiograph the true scapula lateral image up to date. This studies were summarized as follows; Adaptation of $40^{\circ}$ trunk rotation was the best to show the true scapula lateral image in korean. Our results were very useful to get the true scapula lateral images in clinic.

The Study Intervertebral Foramen Image for the Cervical spine of Posterior Anterio Oblique for the Angle (목뼈 척추사이 공간 관찰을 위한 후·전 사방향 촬영 각도에 관한 연구)

  • Ahn, Byung Ju
    • Journal of the Korean Society of Radiology
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    • v.9 no.4
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    • pp.197-203
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    • 2015
  • The Study on the patient is in a clinical researcher is not necessarily pose before after before after dwichim (Pronation) pose with neck-in-law (RAO, LAO) to chwalyoungbeop subjective evaluation experiment looked at objectively. Overview evaluation is a result of measuring the angle of the space between the vertebrae in PACS image $C_2{\sim}C_3$, $C_3{\sim}C_4$, $C_4{\sim}C_5$, $C_5{\sim}C_6$, $C_6{\sim}C_7$, in the angle of the $C_7{\sim}T_1$ $47.4^{\circ}{\pm}3.3$, $50.5^{\circ}{\pm}2.3$, $52.7^{\circ}{\pm}4.2$, $53.2^{\circ}{\pm}1.9$, $53.2^{\circ}{\pm}2.3$, $55.2^{\circ}{\pm}2.3$ was found to show increasing the angle between the ball and the median nerve in the lower neck sagittal grows. In a comparison of the measured angles in foraminal image was not significantly different (P>0.01). Subjective evaluation Recever Operation characteristic to the top, the upper neck hole (foramen) C2 ~ C3-up than conventional $45^{\circ}$ angle of the lower neck, $C_3{\sim}C_4$, were observed in the well $50^{\circ}$ $C_5{\sim}C_6$, $C_6{\sim}C_7$, the $C_7{\sim}T_1$ was observed at $55^{\circ}$ well observed experimental results video recession neck vertebrae son-in-law, son-in-law taken place in an objective evaluation, subjective evaluation of the upper neck after case could be observed at $50^{\circ}$, well in the lower neck $55^{\circ}$.

Analysis of the Entrance Surface Dose (ESD) and Contrast Usage of Trance Femoral Cerebral Angiography (TFCA) and Cerebral Computed Tomographic Angiography (CCTA) for Cerebrovascular Disease Examining (뇌혈관 질환 검사를 위한 뇌혈관 조영술(TFCA)과 뇌혈관 전산화 단층 촬영 검사(CCTA)의 입사표면선량(ESD) 및 조영제 사용량 분석)

  • Seo, Young-Hyun;Hong, Cheon-Gi;Song, Jong-Nam
    • Journal of the Korean Society of Radiology
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    • v.13 no.4
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    • pp.495-502
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    • 2019
  • A typical cerebrovascular disease among cerebrovascular diseases is vascular diseases such as cerebral infarction, cerebral hemorrhage, cerebral aneurysm, cerebrovascular stenosis. If the disease occurs and causes cerebral damage, it may be difficult to recover completely. So that, Must continue to perform health care through examination early. In particular, Because most cerebrovascular disease examining use radiation equipment and Thus this study was to find out how to select about the optimal examining method and X-ray dose decrease method among different examining method though comparison and analysis for the entrance surface dose (ESD) on cerebrovascular examining with Trance Femoral Cerebral angiography (TFCA) and Cerebral Computed Tomographic Angiography (CCTA). Also, want to find out how to select about the optimal examining method for worried patient that contrast medium side effect though measuring and evaluating for contrast usage. Data were collected from 70 patients (43 males and 27 females) who underwent CCTA at Yeosoo region hospital from June 2018 to December 2018 and 61 patients (34 males and 27 females) who underwent TFCA at Pyeongtaek region hospital from June 2018 to November 2018. ESD analysis method collected retrospective data though M-view and PACS PLUS program, Used contrast usage measuring method did reality measuring method. In the analysis using SPSS, the ESD of TFCA was $245.74{\pm}71.91$, which was $32.05{\pm}7.74$ lower than the dose of $277.79{\pm}79.65$ of CCTA ESD, and statistically significant at t = 3.249, p = 0.017 (p<0.05). As a result of the comparison of the total amount of contrast agent, the mean contrast agent used in TFCA was $55.05{\pm}17.68ml$, which was about 14.95 smaller than the amount of contrast agent used in CCTA, and statistically significant t = -4.548, p<0.001. In conclusion, the ESD of TFCA was statistically significantly lower than that of CCTA, and also the used contrast usage was significantly tiny than that of CCTA. Therefore, Select the method to increase the utilization of TFCA for cerebral disease examining, we can consider X-ray dose decrease method at the same time as to decrease side effect of contrast medium.

Usability Evaluation through Gonad Shielding Production of Pediatric Patients by Gender and Age Rating (소아 환자의 성별과 연령별 생식선 차폐체 제작을 통한 유용성 평가)

  • CHOI, Sung-Hyun;PARK, Jung-Eun;Dong, Kyung-Rae;Chung, Woon-Kwan;Ju, Yong-Jin;Yang, Nam-Hee
    • Journal of Radiation Industry
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    • v.9 no.2
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    • pp.69-75
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    • 2015
  • Purpose: The gonad shielding is used to minimize the impact of the exposure to gonads when Abdomen, Pevis and Hip X-ray inspections are conducted on radiation impressionable pediatric patients. By the way, the gonad is palpable difficult and impossible to check visually because it's a sensitive area, so tests are conducted with the approximate location of shielding, thereby appearing problems of not shielding gonads accurately. Accordingly, this study produced shields by age and gender of pediatric patients and studied the method of positioning shields with ASIS as a reference point without palpable sensitive areas, and tried to evaluate its usability. Materials and methods: The study surveyed 30 pediatric patients by gender and age, who came and got inspected in Department of Radiology, our hospital from February 2012 to January 2014 and obtained the value of tolerance by measuring the average size of the pelvis using the distance measurement function of Infinitt Piview with the images stored in the PACS and producing shields by age and gender of pediatric patients and specifying the areas at random for the comparative analysis of pre- and post-using. It calculated the technology statistics($mean{\pm}SD$) with the value of tolerance measured the length using SPSS 12.0 statistical program. Results: As for boys, differences in the tolerance range of pre- and post-using shields were 2.69 mm in case of 1 year old, 2.58 mm in 2 years, 2.37 mm in 3 years, 2.815 mm in 4~5 years, 2.043 mm in 7~10 years, and as for girls, 1.92 mm in 1~2 years, 1.75 mm in 3~4 years, 2.52 mm in 5~6 years and 1.93 mm in 7~10. After analyzing the pre- and post-using shields for all of boys and girls, there were statistically significant differences(P<0.050). Conclusions: It is considered that we can minimize the exposure to gonads and get a better video for diagnosis in testing high biological impressionable pediatric, if we use shields correctly with ASIS as a reference point considering its shape and size by age and gender in Abdomen, Pevis and Hip X-ray inspections.