• Journal of the Korean Society of Radiology
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• v.17 no.3
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• pp.465-472
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• 2023

In predicting vascular disease, this study attempted to identify changes in the carotid intima-media thickness in patients who underwent carotid artery ultrasonography and hematological tests and to find out the effect of risk factors on the expression of atherosclerotic plaque. A retrospective analysis was conducted on 469 healthy adults who visited the hospital for the purpose of medical examination and performed carotid artery ultrasonography. As a result, carotid intima-media thickness, age, body mass index, waist circumference, systolic blood pressure, total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol and glucose were analyzed as significant predictors of atherosclerotic plaque (p<0.001). The risk ratio was calculated based on the cut off value of the risk factors of the atherosclerotic plaque determined through ROC curve analysis, followed by 8.06 times the carotid intima-media thickness, 7.53 times the age, 3.97 times the waist circumference and 2.02 times the glucose. Therefore, in this study it was possible to prepare a Korean standard for clinical risk factors that affect the presence of absence of atherosclerotic plaque and observation of carotid artery ultrasonography is thought to help diagnose or predict cardiovascular disease early.

• Journal of the Korean Society of Radiology
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• v.17 no.3
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• pp.367-373
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• 2023

Aircrews and passengers are exposed to radiation from cosmic rays and secondary scattered rays generated by reactions with air or aircraft. For aircrews, radiation safety management is based on the exposure dose calculated using a space-weather environment simulation. However, the exposure dose varies depending on solar activity, altitude, flight path, etc., so measuring by route is more suggestive than the calculation. In this study, we developed an instrument to measure the cosmic radiation dose using a general-purpose Si sensor and a multichannel analyzer. The dose calculation applied the algorithm of CRaTER (Cosmic Ray Telescope for the Effects of Radiation), a space radiation measuring device of NASA. Energy and dose calibration was performed with Cs-137 662 keV gamma rays at a standard calibration facility, and good dose rate dependence was confirmed in the experimental range. Using the instrument, the dose was directly measured on the international line between Dubai and Incheon in May 2023, and it was similar to the result calculated by KREAM (Korean Radiation Exposure Assessment Model for Aviation Route Dose) within 12%. It was confirmed that the dose increased as the altitude and latitude increased, consistent with the calculation results by KREAM. Some limitations require more verification experiments. However, we confirmed it has sufficient utilization potential as a cost-effective measuring instrument for monitoring exposure dose inside or on personal aircraft.

• Journal of the Korean Society of Radiology
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• v.17 no.5
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• pp.671-677
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• 2023

When a scintillator block is constructed using fine scintillator pixels, the scintillator block located at the edge of the scintillator block results in overlapping images. To solve this problem, a light guide was inserted between the scintillator block and the photosensor, and images of all scintillation pixels were separated and acquired. However, loss of light may occur through the light guide, which eventually affects the quality of the image due to a decrease in energy resolution. Therefore, in this study, a detector was designed that can separate scintilltion pixels better by using a reflector on the side of the light guide and can secre excellent energy resolution by minimizing light loss. For comparative evaluation with previous studies, flood images were obtained through DETECT2000 capable of light simulation, and the degree of separation and light collection rate were evaluated. When a reflector was used on the side of the light guide, all materials showed excellent separation regardless of the material of the light guide, which showed better separation results than previous studies. In addition, the light collection rate was more that five times better when the reflector was applied than when it wa not. If this detector is applied to a small animal positron emission tomography, it will be possilbe to secre excellent image quality through excellent spatial resolution and energy resolution.

• Journal of the Korean Society of Radiology
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• v.17 no.6
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• pp.801-808
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• 2023

In order to minimize radiation exposure and secure diagnostic value images during CT examination of the head of children, the usefulness of volume axial mode is evaluated through comparison and analysis of exposure dose and images of volume axial mode, high pitch mode, and helical mode. Image evaluation and dose evaluation were performed in CT high pitch mode, helical mode, and volume axial mode for infants under the age of 1 according to the voltages of 70, 80, and 100 kVp tubes. The image evaluation was conducted by comparing image quality by setting ROI for each image, calculating SNR and CNR, using ONE-WAY (ANOVA) to evaluated statistical significance, and cross-examining the dose evaluation using DLP values displayed in the Dose Report. When inspected using volume axial mode, DLP values were generally low, and SNR and CNR values differed by ROI and kVp. When volume axial mode evaluated the quality of the image compared to other scan modes, the difference is not uniform. For the reason, certain modes are not considered excellent, but the exposure dose was reduced the most in terms of dose. In addition, the point that the volume axial mode can be examined at its original location, short scanning time and needless of table movement is useful for CT tests for children under 1 year of age with high radiation sensitivity.

• Journal of the Korean Society of Radiology
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• v.17 no.5
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• pp.663-670
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• 2023

In this study, we aimed to perform a comparative evaluation using quantitative factors between a region-growing based segmentation with noise reduction algorithms and a U-Net based segmentation. Initially, we applied median filter, median modified Wiener filter, and fast non-local means algorithm to computed tomography (CT) images, followed by region-growing based segmentation. Additionally, we trained a U-Net based segmentation model to perform segmentation. Subsequently, to compare and evaluate the segmentation performance of cases with noise reduction algorithms and cases with U-Net, we measured root mean square error (RMSE) and peak signal to noise ratio (PSNR), universal quality image index (UQI), and dice similarity coefficient (DSC). The results showed that using U-Net for segmentation yielded the most improved performance. The values of RMSE, PSNR, UQI, and DSC were measured as 0.063, 72.11, 0.841, and 0.982 respectively, which indicated improvements of 1.97, 1.09, 5.30, and 1.99 times compared to noisy images. In conclusion, U-Net proved to be effective in enhancing segmentation performance compared to noise reduction algorithms in CT images.

• Journal of the Korean Society of Radiology
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• v.17 no.5
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• pp.791-800
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• 2023

This study was conducted to lay the foundation for creating a society safe from radiation by investigating the establishment of a radiation social safety net and the establishment of safety awareness and safety culture among citizens living in Busan. Data was collected through an online survey, and 200 copies of the survey were analyzed. Data were analyzed using SPSS Window Ver 28.0. To verify differences between groups, t-test and one way ANOVA were performed, and correlation analysis was performed to confirm the relationship between variables. In addition, multiple linear regression analysis was conducted to confirm the influence between variables. As a result, first, in terms of building a social safety net, citizens' safety awareness, and establishing a safety culture, the scores of the group with male gender, age in 20s, and high school graduation were found to be high. Among them, there was a statistical difference in gender at the significance level of .01 for building a social safety network and at the significance level of .05 for establishing a safety culture. In terms of occupation, there was a statistical difference between professionals and service workers at the significance level of .05 regarding the building of a radiation social safety network. Second, as a result of multiple regression analysis, it was found that 'local government radiation safety education', a subordinate factor in building a radiation social safety network, had a positive effect on citizens' safety awareness and establishment of a safety culture. Third, the results of the correlation analysis between the building of a social safety network, citizens' safety awareness, and establishment of a safety culture showed a positive correlation. Therefore, it is believed that a good radiation social safety network will have a positive impact on citizens' safety awareness and the establishment of a safety culture.

• Journal of the Korean Society of Radiology
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• v.18 no.2
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• pp.65-71
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• 2024

To achieve high resolution and sensitivity of positron emission tomography (PET) for small animals, the detector is constructed using very thin and long scintillation pixels. Due to the structure of these scintillation pixels, spatial resolution deterioration occurs outside the system's field of view. To solve this problem, we designed a detector that could improve spatial resolution by measuring the interaction depth and improve sensitivity by using a quasi-block scintillator. A quasi-block scintillator size of 12.6 mm x 12.6 mm x 3 mm was arranged in four layers, and optical sensors were placed on all sides to collect light generated by the interaction between gamma rays and the scintillator. DETECT2000 simulation was performed to evaluate the performance of the designed detector. Flood images were acquired by generating gamma-ray events at 1 mm intervals from 1.3 mm to 11.3 mm within the scintillator of each layer. The spatial resolution and peak-to-peak distance for each location were measured in an 11 x 11 array of flood images. The average measured spatial resolution was 0.25 mm, and the average distance between peaks was 1.0 mm. Through this, it was confirmed that all locations were separated from each other. In addition, because the light signals of all layers were measured separately from each other, the layer of the scintillator that interacted with the gamma rays could be completely separated. When the designed detector is used as a detector in a PET system for small animals, it is considered that excellent spatial resolution and sensitivity can be achieved and image quality can be improved.

• Journal of the Korean Society of Radiology
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• v.18 no.2
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• pp.135-144
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• 2024

Ultrasonography examination has limitations in quantifying hepatic fat quantification. Therefore, this study aimed to experimentally demonstrate whether changes in signal attenuation during ultrasound imaging can be quantified using simulated hepatic phantoms to assess hepatic fat content. Additionally, we aimed to evaluate the potential of ultrasound imaging for diagnosing hepatic fatty liver by analyzing the relationship between hepatic fat content and signal intensity in ultrasound images. In this study, we developed a total of five stimulated hepatic phantoms by homogeneously mixing water and oil. We confirmed the fat content of the phantoms using magnetic resonance imaging (MRI) and ultrasound imaging, and measured signal intensity according to distance in ultrasound images to analyze the correlation and mean comparison between fat content and signal intensity. We observed that as the fat content increased, the ultrasound penetration intensity decreased, confirming the potential for quantifying hepatic fat content using ultrasound. Additionally, the analysis of the correlation between the measured fat content using MRI and the signal intensity measured in ultrasound images showed a high correlation. Statistical analysis in our study confirmed that as the fat content increased, the slope representing signal during ultrasound imaging (US-GRE) decreased. In this study, it was statistically confirmed that the US-GRE value of ultrasound images gradually decreases as the fat content increases, and it is believed that US-GRE can serve as a biomarker expressing fatty liver content.

• Journal of the Korean Society of Radiology
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• v.18 no.3
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• pp.239-248
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• 2024

Radiation therapy uses high energy, which can have side effects on the human body. Therefore, it is important to ensure that the appropriate dose is set for irradiation and to have confidence in the radiation produced by the generator. The EPR/Alanine dosimetry system is characterized by water equivalence, dose response linearity, and low fading, which makes it useful for quality control of radiation therapy equipment. In this study, we compared the signal and dose response curves of EPR/Alanine dosimetry by mass of alanine using 6 MV energy of a LINAC. An alanine dosimeter and EPR spectrometer from Burker, and a LINAC from Elekta, were used. A dose response curve and a 1st order regression equation were constructed from the irradiated dose and the EPR signal from the alanine dosimeter. We compared the signal magnitude and dose response curve with mass and checked the confidence through the measurement uncertainty of the dose response curve. As a result, it was found that the magnitude of the EPR signal increased by about 1.3 times at 64.5 mg, and the sensitivity of the dose response curve increased as the mass increased. The measurement uncertainty was evaluated to be between 5.84 % and 8.93 %. Through this study, it is expected that the EPR/alanine dosimetry system can be applied to the quality assurance and quality control of a LINAC.

• Journal of the Korean Society of Radiology
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• v.18 no.4
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• pp.317-325
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• 2024

This study aimed to classify normal and nodule images in thyroid ultrasound images using GLCM and machine learning. The research was conducted on 600 patients who visited S Hospital in Busan and were diagnosed with thyroid nodules using thyroid ultrasound. In the thyroid ultrasound images, the ROI was set to a size of 50x50 pixels, and 21 parameters and 4 angles were used with GLCM to analyze the normal thyroid patterns and thyroid nodule patterns. The analyzed data was used to distinguish between normal and nodule diagnostic results using the SVM model and KNN model in MATLAB. As a result, the accuracy of the thyroid nodule classification rate was 94% for SVM model and 91% for the KNN model. Both models showed an accuracy of over 90%, indicating that the classification rate is excellent when using machine learning for the classification of normal thyroid and thyroid nodules. In the ROC curve, the ROC curve for the SVM model was generally higher compared to the KNN model, indicating that the SVM model has higher within-sample performance than the KNN model. Based on these results, the SVM model showed high accuracy in diagnosing thyroid nodules. This result can be used as basic data for future research as an auxiliary tool for medical diagnosis and is expected to contribute to the qualitative improvement of medical services through machine learning technology.