• Progress in Medical Physics
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• v.19 no.4
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• pp.298-304
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• 2008

Current digital radiographic systems are rapidly growing in clinical applications. The purpose of this study was to evaluate the diagnostic performance of computed radiography (CR) and digital radiography (DR) at different tube voltages in the detection of simulated chest lesions. Patterns of simulated interstitial lung disease, incipient infiltration, and nodules were superimposed over an anthropomorphic chest phantom. A simulated chest phantom radiograph was obtained with CR and DR at different tube voltages (70 kV, 90 kV, and 120 kV). A total of 18,000 observations were analyzed using a receiver operating characteristic (ROC) analysis. The detection of all lesions showed higher $A_z$ values at 70 kV than 120 kV with CR. For the DR, mean $A_z$ values at 70 kV were higher than other tube voltages not all lesions but for micro-nodule interstitial lung disease, linear interstitial lung disease, and incipient infiltration. Based on these results, a clinical study should be performed to judge the use of suitable tube voltage according to the type of detector system and lesions.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.1
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• pp.393-400
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• 2020

Unlike conventional radiographic examinations, angiointerventional procedures have a high risk of radiation exposure to patients or operators due to prolonged radiation exposure time. This study was undertaken to examine effects of reducing the radiation risk by applying dose reduction fiber (DRF) shielding cloth during angiography. To investigate the properties of DRF shielding cloth, we measured the scattered radiation below and above a human phantom using a glass dosimeter, at site distances 10 cm away from the irradiated field. The results obtained reveal a 15 ~ 31% reduction of scattered radiation in the irradiation field, and 53 ~ 70% reduced radiation measured after phantom transmission. Taken together, our data indicate that application of DRF shielding cloth for radiation reduction at non-procedural sites during interventional procedure results in reduction of scattered doses to patients and operators, without affecting the medical examinations. We propose the use of DRF shielding during angiointerventional procedures, in order to reduce the risk of radiation exposure of patients and operators.

• The Journal of the Korea Contents Association
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• v.15 no.7
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• pp.289-299
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• 2015

The purpose of this study is to evaluate and compare the quality of digital X-ray imaging system. The image quality evaluation was conducted By using Modulation transfer function indicating the quantitative resolution of the image and the noise power spectrum showing the noise characteristics. Using a IEC61267 radiation quality was applied to the geometry to be used in clinical and geometry presented in IEC62220-1 and Additional filter, grid, the clinical dose and the MTF value of edge phantom was measured. Result of the MTF corresponding to each item(Grid, Filter, SID, kVp, mAs), the clinical condition 100cm, 180cm, measurements of the spatial frequency of the MTF IEC62220-1Geometry 150cm became similarly apparent, rather spatial frequency was also the case high in clinical conditions 100cm. NPS results, as the dose(mAs) is increased, NPS showed that reduced. The image quality evaluation using IEC61267 the Radiation quality, Image quality of the video using the clinical conditions Geometry than image quality evaluation using IEC62220-1Geometry was better. It shows that MTF and NPC in IEC and clinical condition were not significantly different. In order to apply the evaluation method of image quality applied with clinical conditions rather than the future method, to be presented evaluation of IEC standard, based on the results of the image characterization studies in this paper, the methods that shows good quality of spatial resolution and decrease NPS value as the least dose, used suitable parameters for whether or not using added filter, grid, change SID and clinical quality(kVp), dose(mAs) etc should be found. then It is believed to be able to properly maintain the actual quality of the image of the digital radiographic imaging system in clinical.

• Journal of the Korean Society of Radiology
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• v.14 no.5
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• pp.635-642
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• 2020

The purpose of this study was to analysis the effects of shielding area of field configuration with changing of sensitivity and density on tube current (milliampere-seconds, mAs) and image quality in automatic exposure control (AEC) system. The equipment used a digital radiography device (Digital Diagnost, Philips, Netherlands), which has a integral type with an X-ray tube and an indirect digital detector. The AEC system conditions were consisted of 9 setting environments, that mode changing of the sensitivity (S200, S400, S800) and the density (+2.5, 0, -2.5). The tube current evaluated automatically exposed mAs under 81 combination conditions crossed by AEC conditions in fixed at 40 kVp. The image quality evaluated the radiographic images that selected valid images by visual assessment the radiographic images of the self-produced conical pyramid phantom and then measured their signal to noise ratio (SNR). As a result, the maximum tube current was 60.0 mAs that automatically exposed conditions were the 100% of shielding area and the sensitivity of S200 and the density of +2.5. The minimum tube current was 0.9 mAs with non-shielding area and the sensitivity of S800 and the density of -2.5. When the shielded area 0% with the sensitivity of S200 and the density of +2.5, the maximum SNR was the highest as 25.2. But when the shielded area 25% with the sensitivity of S800 and the density of -2.5, the minimum SNR was the lowest as 4.7.

• Journal of radiological science and technology
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• v.42 no.3
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• pp.167-173
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• 2019

The Cobey method and the modified Cobey method are most commonly used in clinical practice. Therefore, the purpose of this study was to investigate the radiological differences between Cobey and modified Cobey and provide radiographic information about changes of hindfoot image with X-ray entrance center and tube angle change in modified Cobey. This study was performed on foot and ankle phantom. First, for image comparison of Cobey and modified Cobey, the images obtained by applying the same X-ray entrance center to the ankle joint were compared and analyzed. Second, in the modified Cobey, the X-ray entrance center is set as ankle joint and lateral malleolus. The X-ray tube angle was varied from $10^{\circ}$ to $40^{\circ}$ at $5^{\circ}$ intervals for each X-ray entrance center. The images obtained by varying the X-ray tube angle from $10^{\circ}$ to $40^{\circ}$ at intervals of $5^{\circ}$ for each X-ray entrance center were compared and analyzed. The irradiation conditions were the same with 110 kVp, 200 mA, 10 ms, and 110 cm of source - image receptor distance (SID). Image evaluation was performed by two radiologists. Measurements were made on the lateral point, middle point, and calcaneus width based on a hypothetical line parallel to the calcaneal tuberosity. Data were analyzed by using descriptive statistics as the mean of the distance to each measurement location. The modified Cobey was longer than the Cobey by an average of 3 to 4 mm lateral and medial points, and the calcaneus width was similar (ICC = 0.939). In modified Cobey method, when the X-ray entrance center is ankle joint, the lateral point is about 3 mm and the medial point is about 4.3 mm longer than lateral malleolus. Also, when the X-ray tube angle is more than $20^{\circ}$, the degree of distortion is large. The ICCs for the lateral, medial point, and calcaneus width were 0.998, 0.961, and 0.997, respectively, as the X-ray entrance center and tube angle were changed. There was no significant difference between Modified Cobey and Cobey. Modified Cobey showed no need to compensate the $20^{\circ}$ detector angle of the Cobey. In addition, we suggest that tube angle should be limited within $20^{\circ}$ when modified Cobey is performed.

• Proceedings of the Korean Society of Medical Physics Conference
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• 2003.09a
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• pp.64-64
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• 2003

Objectives: Patient dose verification is clinically the most important parts in the treatment delivery of radiation therapy. The three dimensional(3D) reconstruction of dose distribution delivered to target volume helps to verify patient dose and determine the physical characteristics of beams used in intensity modulated radiation therapy(IMRT). We present Beam Intensity Scanner(BInS) system for the pre treatment dosimetric verification of two dimensional photon intensity. The BInS is a radiation detector with a custom made software for relative dose conversion of fluorescence signals from scintillator. Methods: This scintillator is fabricated by phosphor Gadolinium Oxysulphide and is used to produce fluorescence from the irradiation of 6MV photons on a Varian Clinac 21EX. The digitized fluoroscopic signals obtained by digital video camera will be processed by our custom made software to reproduce 3D relative dose distribution. For the intensity modulated beam(IMB), the BInS calculates absorbed dose in absolute beam fluence, which are used for the patient dose distribution. Results: Using BInS, we performed various measurements related to IMRT and found the followings: (1) The 3D dose profiles of the IMBs measured by the BInS demonstrate good agreement with radiographic film, pin type ionization chamber and Monte Carlo simulation. (2) The delivered beam intensity is altered by the mechanical and dosimetric properties of the collimating of dynamic and/or static MLC system. This is mostly due to leaf transmission, leaf penumbra, scattered photons from the round edges of leaves, and geometry of leaf. (3) The delivered dose depends on the operational detail of how to make multileaf opening. Conclusions: These phenomena result in a fluence distribution that can be substantially different from the initial and calculative intensity modulation and therefore, should be taken into account by the treatment planing for accurate dose calculations delivered to the target volume in IMRT.

• Proceedings of the Korean Society of Medical Physics Conference
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• 2002.09a
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• pp.260-262
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• 2002

An accurate measurement of dose distribution is indispensable to perform radiation therapy planning. A measurement technique using a radiographic film, which is called a film dosimetry, is widely used because it is easy to obtain a dose distribution with a good special resolution. In this study, we tried to develop an analyzing system for the film dosimetry using usual office automation equipments such as a personal computer and an image scanner. A film was sandwiched between two solid water phantom blocks (30 ${\times}$ 30 ${\times}$ 15cm). The film was exposed with Cobalt-60 ${\gamma}$-ray whose beam axis was parallel to the film surface. The density distribution on the exposed film was stored in a personal computer through an image scanner (8bits) and the film density was shown as the digital value with NIH-image software. Isodose curves were obtained from the relationship between the digital value and the absorbed dose calculated from percentage depth dose and absorbed dose at the reference point. The isodose curves were also obtained using an Isodose plotter, for reference. The measurements were carried out for 31cGy (exposure time: 120seconds) and 80cGy (exposure time: 300seconds) at the reference point. While the isodose curves obtained with our system were drawn up to 60% dose range for the case of 80cGy, the isodose curves could be drawn up to 80% dose range for the case of 31cGy. Furthermore, the isodose curves almost agreed with that obtained with the isodose plotter in low dose range. However, further improvement of our system is necessary in high dose range.

• Korean Journal of Digital Imaging in Medicine
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• v.13 no.3
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• pp.139-144
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• 2011

The purpose of this report is recommending a standard indicator which reflects the radiation exposure that is incident on a detector after every exposure event and that reflects the noise levels present in the image data. The experiment was performed with mobile digital X-ray unit and used a acrylic phantom for exposure index measurement. Exposure modality was kVp, mAs, SID. After every exposure, make a data sheet for characteristic curve of detector response. The equipment performed Mobile digital X-ray unit provide the user with values ralated to the incident exposure(air kerma)to the digital detector. They are showed as a logarithmic function shaped. As a result, DEI means a relative measure of exposure to the detector, as compared to the expected exposure for a particular anatomical view. Radiographic technique is the combination of factors used to exposure an anatomical part to produce a high quality radiography and technique charts used most commonly by radiographers to produce consistently exposure level which patient dose can be kept acceptably low.

• Journal of the Korean Society of Radiology
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• v.16 no.4
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• pp.395-403
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• 2022

Flat-panel detector (FPD) used in digital radiographic imaging systems was used to perform a quantitative power spectrum evaluation as a result of the thickness change of polymethyl methacrylate (PMMA), a tissue equivalent. As the PMMA thickness increases with the resolution-chart phantom image, the effect of the scattering line increases, indicating that the modulation characteristics decrease, and the image is bright. The results show that the noise of the image increases, and noise-power spectral images are obtained by Fourier transform to confirm by spatial frequency. Thus, it can be verified that the PMMA thickness and noise are proportional through the result of evaluating the change of resolution characteristics and representing the 2D noise-power spectrum as one-dimensional values by evaluating the change of scattering line with MTF as the PMMA thickness increases in the image.

• Journal of the Korean Society of Radiology
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• v.9 no.1
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• pp.31-37
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• 2015

The cases of radiographic inspection for medical diagnosis in Korea have been continuously increasing year after year, which pays particularly more attention to CT which occupies over the half of medical radiation exposure. To find an effective alternative for reducing radiation exposure, the researchers conducted comparative experiments using some shields made of bismuth, aluminum 6mm, and silicone 22mm. These shielding materials have been used to reduce the entrance surface dose (ESD) on lenses, maintaining the CT number, noise, and uniformity in brain CT scanning which forms the largest part in CT scanning these days. These experiments showed that the doses in the spiral scan parallel to IOML and the conventional scan in Bismuth were 26.41% and 17.52%, respectively; in Aluminum 18.24% and 9.39%; in Silicone 19.47% and 14.39% lower than compared with those in the cases without any shields. In the items of the CT number, noise, and uniformity, the bismuth shield satisfied exceedingly the standards of the phantom image test while aluminum and silicone were within. To keep the graphic quality and get good shielding effect, we recommend the silicone shield which can be manufactured and purchased with ease.