• Journal of radiological science and technology
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• v.46 no.6
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• pp.501-508
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• 2023

This study used a adult absorption dose phantom (CIRS model 701-G, USA) made of human equivalent material and the vascular imaging equipment Allura Xper FD 20 (Philips, Netherlands). Optically stimulated luminescent dosimeters (OSLD) were inserted into the anatomical positions corresponding to each organ, and the exposure dose was measured. Dose area product (DAP) and air kerma (AK) measured by the dose meter in the equipment were compared. Continuous imaging was performed at two angles for a total of 20 minutes, with a frame per seconds of 3.75 and 7.5 fps and an FOV of 42 cm, 37 cm, and 31 cm, respectively, under the conditions of fluoflavor I, II, and III, each selected for 5 repetitions. This study was found that selecting a lower fps was the most effective way to reduce patient exposure dose, and adjusting the fluoflavor was a good alternative method for reducing patient exposure dose at high fps. Therefore the method of condition change with the greatest dose reduction effect is to set the minimum FPS and can reduce patient exposure dose according to geometric conditions and fluoflavor characteristics.

• Journal of radiological science and technology
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• v.18 no.1
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• pp.55-62
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• 1995

This study was performed to find out dose distribution, pdd, surface dose and off center ratio. A few articles is analysis of dose data in radiotherapy field, there is no standardized measure of an assessment of exposure dose at diagnostic radiology, yet. And authors demonstrated a new assessment measure by ion chamber, TLD and film dosimetry system. We assurance that our data is useful to quantiative analysis of exposure dose and clinical fields for reduction of radiation dose.

• Journal of Korean Academy of Oral and Maxillofacial Radiology
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• v.22 no.2
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• pp.351-364
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• 1992

Internal derangement of the temporomandibular joint can be defined an abnormal relationships of the meniscus relative to the mandibular condyle, articuar fossa and eminence. This may cause variable mandibular dysfunctions and pain. For diagnosis, arthrography, computed tomography and magnetic resonance imaging are used. In this study, the author reviewed 98 TMJs of 88 patients who were diagnosed as internal derangement througth inferior joint space arthrography at the department of Oral & Maxillofacial Radiology, Dental Hospita, Dankook university through 1986 to 1992. 98 TMJs consisting of 30 disc displcement with reduction, 48 disc displcement without reduction and 20 perforation were studied about clinical and radiological findings. The results were as follows: 1. Internal derangement was found most frequently in the 2nd 3rd decades and the average age of perforation was higher than that of disc displcement with higher than that of disc displcement with reduction. The sexual predilection was 2 times hiher in females. 2. The most frequent chief complaints were TMJ sound in disc displcement with reduction, pain and limitation of mouth opening in disc displcement without reduction and pain in perforation. The duration of the chief complaints was longer in disc displcement with reduction with than in preforation and disc displcement without reduction. 3. Reciprocal click was the most frequently TMJ sound in disc displcement with reduction. History of joint sound in disc displcement without reduction an crepitus in perforation was the most frequent one. 4. The average maximum opening was 45.4㎜ in disc displcement with reduction, 31.4㎜ in disc displcement without reduction and 33.8㎜ in perforation. 5. In the centric occlusion, posterior condylar position was the most frequent in disc displcement with reduction. posterior and concentric condylar position was frequent in disc displcement without reduction, concentric and anterior condylar position in perforation. At 1 inch opening, the same position to articular eminence was most frequently found in disc displcement with reduction, posterior position in disc disp1cement without reduction, posterior and nterior position in perforation was frequently found. 6. Bony changes, especially sclerosis and flattening, was most frequently found in perforation.

• Journal of the Korean Society of Radiology
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• v.13 no.3
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• pp.453-458
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• 2019

In this study we analyzed the tendency of the image characteristic by changing filtering factor for the proposed fast non local means (FNLM) noise reduction algorithm with designed Male Adult mesh (MASH) phantom through Geant4 application for tomographic emission (GATE) simulation program. To accomplish this purpose, MASH phantom for human copy was designed through the GATE simulation program. In addition, we acquired degraded image by adding Gaussian noise with a value of 0.005 using the MATALB program in MASH phantom. Moreover, in degraded image, the FNLM noise reduction algorithm was applied by changing the filtering factors, which set to 0.005, 0.01, 0.05, 0.1, 0.5, and 1.0 value, respectively. To quantitatively evaluate, the coefficient of variation (COV), signal to noise ratio (SNR), and contrast to noise ratio (CNR) were calculated in reconstructed images. Results of the COV, SNR and CNR were most improved in image with a filtering factor of 0.05 value. Especially, the COV was decreased with increasing filtering factor, and showed nearly constant values after 0.05 value of the filtering factor. In addition, SNR and CNR were showed that improvement with increasing filtering factor, and deterioration after 0.05 value of the filtering factor. In conclusion, we demonstrated the significance of setting the filtering factor when applying the FNLM noise reduction algorithm in degraded image.

• Journal of radiological science and technology
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• v.40 no.1
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• pp.127-134
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• 2017

The purpose of this study was to assess the impact by comparing the concentration of indoor radon and look for ways to lower the concentration of indoor radon gas measurements of three variables, the year of completion, volume of the building and ventilation. Measurement target is six classrooms on the sixth floor of building that was constructed in 1973 and was extended in 2011. Selected classroom's volume is different. Four classrooms were selected to compare the radon concentration in accordance with the year of completion, Classrooms that is same year of completion were selected to compare the radon concentration in accordance with the volume, six classroom was performed closure and ventilation to compare radon concentration according to ventilation. Radon concentrations in accordance with the year of building completion showed a high concentration of radon in a building recently built. Also, Radon concentration in volume is high the smaller the volume. Radon concentration change according to ventilation showed a reduction of about 80% when the ventilation than during closing. Especially, The radon concentrations were high detected while the recently year of building completion and the smaller volume. Ventilation of the three variables is considered that can be expected to exposure reduction effect by radon affecting the greatest radon concentration reduction.

• Journal of radiological science and technology
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• v.28 no.1
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• pp.19-24
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• 2005

The purpose of this study was to design and implement a useful annotation-based Radiological image retrieval system to accurately determine on education and image information for Radiological technologists. For better retrieval performance based on large image databases, we presented an indexing technique that integrated $B^+-tree$ proposed by Bayer for indexing simple attributes and inverted file structure for text medical keywords acquired from additional description information about Radiological images. In our results, we implemented proposed retrieval system with Delphi under Windows XP environment. End users, Radiological technologists, are able to store simple attributes information such as doctor name, operator name, body parts, disease and so on, additional text-based description information, and Radiological image itself as well as to retrieve wanted results by using simple attributes and text keywords from large image databases by graphic user interface. Consequently proposed system can be used for effective clinical decision on Radiological image, reduction of education time by organizing the knowledge, and well organized education in the clinical fields. In addition, It can be expected to develop as decision support system by constructing web-based integrated imaging system included general image and special contrast image for the future.

• Clinics in Shoulder and Elbow
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• v.19 no.1
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• pp.2-7
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• 2016

Background: The purpose of this study is to compare the radiological and clinical outcomes after open reduction and plate fixation of midshaft clavicle fractures between patients who achieved successful anatomical reduction and those who had a remaining fracture gap even after open reduction and plate fixation, and were thus treated with additional demineralized bone matrix (DBM). Methods: This retrospective analysis was conducted on 56 consecutive patients who underwent open reduction and internal fixation using a locking compression plate for acute displaced midshaft clavicle fractures, and who underwent radiographic and clinical outcome evaluations at least 6 months postoperatively. The outcomes between those who achieved perfect anatomical reduction without remnant gap (n=32) and those who had a remaining fracture gap even after open reduction and plate fixation treated with additional DBM (n=24) were evaluated. Results: There were no differences in the use of lag screws or wiring and operation time (all p>0.05) between those with and without remnant gap. No difference in the average radiological union time and clinical outcomes (satisfaction and Constant score) was observed between the two groups (all p>0.05). However, significantly faster union time was observed for AO type A fracture compared with other types (p=0.012), and traffic accident showed association with worse clinical outcomes compared with other causes of injury. Conclusions: Surgical outcome of midshaft clavicle fracture was more affected by initial fracture type and event, and re-reduction and re-fixation of the fracture to obtain a perfect anatomical reduction spending time appears to be unnecessary if rigid fixation is achieved.

• Journal of the Korean Society of Radiology
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• v.81 no.5
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• pp.1038-1052
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• 2020

Advancements of medical care with the use of new medical technologies have been promoting public health, but they can also place a financial burden on individuals and the country. Since the introduction of the health insurance system in 1977, the South Korean government has been attempting to control medical expenses. Radiological examinations have been a major target for cost reduction. Meanwhile, the radiological report fee has been combined with the technical fee for a long time; hence, its value has not been independently evaluated, and was also decreased proportionally with examination cost reduction. However, in the revised medical fee estimation system for MRI, the report fee has begun to be calculated separately from the technical fee, significantly contributing to the evaluation of the radiologists' work value. In conclusion, radiologists need to know and actively participate in the process of determining the insurance cost of radiological examinations and reports to get a proper value of their professionalism.

• Journal of the Korean Society of Radiology
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• v.13 no.2
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• pp.227-232
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• 2019

MRI examination for patients with metal objects has in poor image quality. Metallic implants can result in poor image because magnetic susceptibility causes signal loss and distortion and makes poor imaging, which is called magnetic susceptibility artifact or metal artifact. There are several approaches to reduce metal artifacts. In this study, we study the reduction of metal artifact by VAT and SEMAC techniques. A metal implant used for orthopedic surgery was attached to the phatom and the distortion caused by the artifact was measured under T1WI and T2WI protocols. Several techniques of VAT only and VAT and SEMAC for the reduction of metal artifact were compared. The metal artifact showed a reduction of at least 8% to a maximum of 26% in the VAT-SEMAC. The VAT-SEMAC technique can be applied to patients with orthopedic implants to improve image quality. If scan time and image quality are simultaneously considered in VAT-SEMAC technique, metal artifact will be reduced in clinical practice.

• Journal of radiological science and technology
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• v.44 no.3
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• pp.173-181
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• 2021

The purpose of this study was to reduce dose while maintaining image quality during digital radiographic examination of paranasal sinus by using the automatic exposure control (AEC) system. The tube voltage was set as six stages that increased by about 10 kVp to 70 kVp, 81 kVp, 90 kVp, 102 kVp, 109 kVp and 117 kVp. And then the AEC system conditions were consisted of 9 setting environments, that change mode of the sensitivity (S200, S400, S800) and the density (+2.5, 0, -2.5). We measured automatically exposed tube current (mAs) under 54 conditions with combined these, and assessed SNR and PSNR through the acquired images. In addition, four radiologists performed a qualitative assessment of the acquired images for each combination on a five-point scale of the Likert. As a result, the lowest dose and the highest values of SNR and PSNR in images with a qualitative assessment more than 4 point were the AEC control factors of 90 kVp, S800, D2.5. We applied this condition to the clinical trial, it showed an effect of 83.1% reduction in exposure radiation dose (mR). Therefore, AEC system could be used as dose reduction technology if it understood and used related regulatory factors and physical characteristics.