• Title/Summary/Keyword: X선 검사

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An Optimal Structure of a Novel Flat Panel Detector to Reduce Scatter Radiation for Clinical Usage: Performance Evaluation with Various Angle of Incident X-ray (산란선 제거를 위한 신개념 간접 평판형 검출기의 임상적용을 위한 최적 구조 : 입사 X선 각도에 따른 성능평가)

  • Yoon, Yongsu
    • Journal of radiological science and technology
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    • v.40 no.4
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    • pp.533-542
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    • 2017
  • In diagnostic radiology, the imaging system has been changed from film/screen to digital system. However, the method for removing scatter radiation such as anti-scatter grid has not kept pace with this change. Therefore, authors have devised the indirect flat panel detector (FPD) system with net-like lead in substrate layer which can remove the scattered radiation. In clinical context, there are many radiographic examinations with angulated incident X-ray. However, our proposed FPD has net-like lead foil so the vertical lead foil to the angulate incident X-ray would have bad effect on its performance. In this study, we identified the effect of vertical/horizontal lead foil component on the novel system's performance and improved the structure of novel system for clinical usage with angulated incident X-ray. Grid exposure factor and image contrast were calculated to investigate various structure of novel system using Monte Carlo simulation software when the incident X-ray was tilted ($0^{\circ}$, $15^{\circ}$, and $30^{\circ}$ from the detector plane). More photons were needed to obtain same image quality in the novel system with vertical lead foil only then the system with horizontal lead foil only. An optimal structure of novel system having different heights of its vertical and horizontal lead foil component showed improved performance compared with the novel system in a previous study. Therefore, the novel system will be useful in a clinical context with the angulated incident X-ray if the height and direction of lead foil in the substrate layer are optimized as the condition of conventional radiography.

Analysis of the Spatial Dose Rates According to the Type of Radiation Source Used in Multi-bed Hospital Room (다인병실에서 이용되는 방사선원의 종류에 따른 공간선량률 분석)

  • Jang, Dong-Gun;Kim, Junghoon;Park, Eun-Tae
    • Journal of radiological science and technology
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    • v.40 no.3
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    • pp.407-413
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    • 2017
  • Medical radiation offers significant benefits in diagnosing and treating patients, but it also generates unnecessary radiation exposure to those nearby. Accordingly, the objective of the present study was to analyze spatial dose rate according to types of radiation source term in multi-bed hospital rooms occupied by patients and general public. MCNPX was used for geometric simulation of multi-bed hospital rooms and radiation source terms, while the radiation source terms were established as whole body bone scan patients and imaging using a portable X-ray generator. The results of simulation on whole body bone scan patients showed $3.46{\mu}Sv/hr$ to another patient position, while experimental results on imaging using a portable X-ray generator showed $1.47{\times}10^{-8}{\mu}Sv/irradiation$ to another patient position in chest imaging and $2.97{\times}10^{-8}{\mu}Sv/irradiation$ to another patient position in abdomen imaging. Multi-bed hospital room, unnecessary radiation generated in the surrounding patients, while legal regulations and systematic measures are needed for radiation exposure in multi-bed hospital rooms that are currently lacking in Korea.

Chest Radiographs and CT Findings during Healthcare Workers' Tuberculosis Screening Using Interferon- Gamma Release Assay: Retrospective Observational Study (인터페론-감마 분비 검사를 이용한 의료 종사자의 결핵 스크리닝에서 흉부 X선 사진 및 CT 소견: 후향적 관찰 연구)

  • Ye Ra Choi;Jung-Kyu Lee;Eun Young Heo;Deog Kyeom Kim;Kwang Nam Jin
    • Journal of the Korean Society of Radiology
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    • v.82 no.6
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    • pp.1524-1533
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    • 2021
  • Purpose To investigate the incidence of tuberculosis (TB) in healthcare workers (HCWs) with positive interferon-gamma release assay (IGRA) results based on chest X-ray (CXR) and CT findings and determine the role of imaging in the diagnosis of TB. Materials and Methods Among 1976 hospital personnel screened for TB using IGRA, IGRApositive subjects were retrospectively investigated. Clustered nodular and/or linear streaky opacities in the upper lung zone were considered positive on CXR. The CT findings were classified as active, indeterminate, inactive, or normal. The active or indeterminate class was considered CT-positive. Results IGRA was positive in 255 subjects (12.9%). CXR and CT were performed in 249 (99.2%) and 113 subjects (45.0%), respectively. CXR- and CT-positive findings were found in 7 of 249 (2.8%) and 9 of 113 (8.0%) patients, respectively. Among the nine CT-positive subjects, active and indeterminate TB findings were found in 6 (5.3%) and 3 (2.7%) patients, respectively. Microbiological tests, including acid-fast bacilli staining, culture, and polymerase chain reaction for TB, were negative in all nine CT-positive subjects. Empirical anti-TB medications were administered to 9 CT-positive subjects, and 3 of these nine subjects were CXR-negative for pulmonary TB.

Patient Radiation Exposure Dose in Computed Tomography (전산화단층촬영장치에서 환자피폭선량)

  • Cho, Pyong Kon
    • Journal of the Korean Society of Radiology
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    • v.9 no.2
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    • pp.109-115
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    • 2015
  • In case of a CT examinations, there is a difference in the distribution of radiation dose from that of general X-ray equipments, and it has been known to cause a great radiation exposure during the examinations. However, owing to its high reliability on the accuracy of a examinations result, its use has increased continuously. In consideration of such a circumstance, the CT equipment, radiation dose during CT examinations, diagnostic reference level, and solutions to reduce radiation dose were mentioned on the basis of previously reported data.

Evaluation of the combination of Bone Scan Image and Pelvic X-ray Image (뼈 검사 영상과 골반 X선 영상의 결합 유용성 평가)

  • Lee, Choong Woon;You, Yeon Wook;Kim, Yong Keun;Weon, Woo Jae
    • The Korean Journal of Nuclear Medicine Technology
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    • v.22 no.1
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    • pp.23-27
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    • 2018
  • Purpose The introduction of bone scan has been reported as a useful tool in the diagnosis, treatment, and treatment response of skeletal disease. The purpose of this study is to improve the anatomical information and tolerance of the bone by combining bone scan and pelvic X-ray without additional radiation exposure. Materials and Methods From November 2015 to August 2016, 236 patients(64 men and 172 women, average age $50.96{\pm}15.39years$) take Bone scan and Pelvis AP(Anteroposterior) X-ray scan at the National Cancer Center. The scan equipment was a gamma camera, Symbia Ecam (SIEMENS, Germany), and a digital x-ray, DRS-800 (Listem, Korea). Osirix version 3.8.1 (Osirix, USA) and Stata/SE version 14.0 (StataCorp, USA) were used for image combination and analysis. The patient was intravenously injected with $^{99m}Tc-DPD$ (740 MBq), and the scan was performed 2 to 4 hours later. Gamma camera image acquisition were Matrix size $256{\times}1024$, Zoom 1.00, and scan speed 17 cm/min. The digital X-ray was made with a collimator size of $14^{{\prime}{\prime}}{\times}17^{{\prime}{\prime}}$, 77 kVp (60 to 97 kVp) and an average of 30 mAs (20 to 48). ASIS and pubic symphysis Select virtual points then Combine three virtual points and pelvic contour lines. The acquired images were evaluated by three radiologists who worked for more than 5 years in the nuclear medicine department. Results Of the total 236 patients, 216 (91.53%) were matched. The median and range (min~max) of the age were 67 (46~81) years old in the unmatched group and 52 (22~87) years old in the matched group, The Wilcoxon rank-sum test was performed to determine whether age was different between the two groups. As a result, the age difference between the two groups was statistically significant at p < 0.0001. Of the 64 men, 60 (93.75%) were match and of the 172 women, 156 (93.75%) were match. There was no statistically significant difference according to gender(p = 0.4542). Of the 54 patients without pelvic lesions, 54 (100.00%) were match, and 162 (89.01%) of 182 patients with pelvic lesions were match. There was a statistically significant difference according to the presence of pelvic lesions. Conclusion There are many variables in the combination of bone scan and pelvic X-ray imaging, and the patient's age and pelvic lesion may have some effect on the image combination. This study is expected to be useful for the diagnosis of pelvic osteosarcoma of children without radiation exposure. It is expected that this combination of images will help to develop the nuclear medicine image.

Analysis of Residual Stress of Ceramic/Metal Joint (세라믹/금속 접합재의 잔류응력 해석)

  • Park, Young-Chul;Hue, Sun-Chul;Kim, Kwang-Young
    • Journal of the Korean Society for Nondestructive Testing
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    • v.14 no.1
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    • pp.7-15
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    • 1994
  • The two-dimensional elastoplastic analysis was peformed to reveal a detail residual stress distribution of ceramic/metal joint specimen using finite element method and X-ray method. The highest tensile residual stress, ${\sigma}_x$ perpendicular to the interface appeared at the edge of the ceramic near the interface. In the vicinity of the interface, the high stress concentration occurs and residual stress distributes three-dimensionally. Therefore, the measured stress distribution differed remarkably from the result of the two-dimensional finite-element analysis. Especially at the center of the specimen near the interface, the residual stress, ox obtained from the finite element analysis was compressive, whereas X-ray measurement yielded tensile ${\sigma}_x$. Therefore, it is also attempted to investigate the finite element model for the prediction of residual stress ${\sigma}_x$ distributed nearly the interface of joint.

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The Change of Full Width Half Maximum and Residual Stress during Fatigue Process in S45C Steel (피로과정에서 S45C강의 반가폭과 잔류응력의 변화양상)

  • Boo, Myung-Hwan;Park, Young-Chul;Kim, Byeong-Soo;Lee, Jong-Moon
    • Journal of the Korean Society for Nondestructive Testing
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    • v.22 no.5
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    • pp.539-544
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    • 2002
  • The purpose of this study is to examine the change of full width half maximum(FWHM) and residual stress during fatigue process in S45C Steel, by X-ray diffraction. For S45C Steel, the relationship between the change in fatigue damage of the specimen and the FWHM, and residual stress of X-ray diffraction profiles during the fatigue processes has been investigated. The FWHM decreases in the early period of fatigue cycle. The change of FWHM is associated with cyclic work hardening. The change of the FWHM is not significant in $10{\sim}20%$ of ratio of fatigue life. The residual stress is changed with fatigue cycle increasing during the fatigue pro process.

Reduction of Entrance Surface Dose Depending on Shielding Methods for Panoramagraphy (파노라마 X선 검사시 차폐방법에 따른 Entrance Surface Dose 저감)

  • Choi, Jung-Hyun;Kim, Sung-Chul;Han, Dong-Kyoon
    • Journal of radiological science and technology
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    • v.38 no.3
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    • pp.199-203
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    • 2015
  • Panoramagraphy was the second most used intraoral radiography utilized in Korea, resulting in 17.8% in university dental hospitals, 24.8% in dental hospitals, and 31.4% in dental clinics. Depending on increased demand like orthodontics and implant, panoromagraphy tends to consistently increase. This study were used lead glasses and lead shielding to reduce unnecessary radiation to the eyeballs and thyroid. ESD was 41.4% when radiation was shielded with the lead glasses while reducing 47.3% of ESD by shielding the X-ray tube area with shielding lead. There was no statistically significant difference. The lead glasses is appropriated to reduce unnecessary radiation exposure to the eyeballs.

Spatial dose distribution and exposure dose during lumbar lateral test (요추 측면 검사 시 공간선량 분포와 피폭선량)

  • Kim, Chang-Gyu
    • Journal of the Korea Convergence Society
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    • v.5 no.1
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    • pp.17-22
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    • 2014
  • During the lateral x-ray testing of lumbar, in order to obtain the optimal image for diagnosis and to minimize the exposure dose, a glass dosimeter and spatial dose measuring meter was used to measure and evaluate the exposure dose and spatial dose distribution of each organs. The exposure dose of the organs have increased as they were closer to the X-ray tube and when the radiation field was completely opened, the exposure dose was increased. In addition, scattered rays have increased as the distance got closer to the subject and with the distance of more than 200cm, 95% of scattered rays was reduced. Such results can anticipate the exposure dose of patients during the lumbar x-ray test in the future and it can be proposed as a data for determining the testing methods and expected to be widely used as an important basic data for reducing the medical exposure dose.