• Proceedings of the Korean Society of Medical Physics Conference
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• 2002.09a
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• pp.393-395
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• 2002

We propose a method which can replace the DR when measuring performance evaluation parameters of antiscatter grids for DR. We used conventional x-ray films to produce grid images, which were scanned by a film digitizer. The digitizer could provide sampling interval of 87 micrometers and pixel depth of 12 bits. Grid line frequencies were measured using aliasing effect and non-uniformities of grids were measured by transforming scanned pixel values of film images into optical densities.

• Proceedings of the Korean Society of Medical Physics Conference
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• 2002.09a
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• pp.302-304
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• 2002

In linac-based stereotactic radiosurgery, assuring the quality of the planning and delivery of external photon beam requires accurate evaluation of beam parameters, usually including output factors, tissue-phantom ratio and off-axis ratios, and measurement of actual dose distributions from simulated treatment. We're going to test the use of calibrated radio chromic film (Gafchromic film; type MD-55, Nuclear associate) using a Lumiscan 75 digitizer to measure absolute dose and relative dose distributions for linac-based radiosurgery unit Relative dose distribution of a human-style spherical acryl phantom were measured using radiochromic film and calculated by treatment planning system. The absolute dose at the sphere center was measured by radiochromic film and micro chamber (Exradin A-14, 0.009cc). What we want to demonstrate in this work, the 'well selected' radiochromic films when external photon beam are used in linac-based stereotactic radiosurgery are very accurate detector for dosimetry.

• Journal of radiological science and technology
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• v.21 no.1
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• pp.35-39
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• 1998

We analyzed image factors to determine the characteristic factors that need for intelligent replenishment system of the auto film processor. We processed the serial 300 sheets of radiographic films of chest phantom without replenishment of developing and fixation replenisher. We took the digital data by using film digitizer which scaned the films and automatically summed up the pixel values of the films. We analyzed characteristic curves, average gradients and relative speeds of individual film using densitometer and step densitometry. We also evaluated the pH of developer, fixer, and washer fluid with digital pH meter. Fixer residual rate and washing effect were measured by densitometer using the reagent methods. There was no significant reduction of the digital density numbers of the serial films without replenishment of developer and fixer. The average gradients were gradually decreased by 0.02 and relative speeds were also gradually decreased by 6.96% relative to initial standard step-densitometric measurement. The pHs of developer and fixer were reflected the inactivation of each fluid. The fixer residual rates and washing effects after processing each 25 sheets of films were in the normal range. We suggest that the digital data are not reliable due to limitation of the hardware and software of the film digitizer. We conclude that average gradient and relative speed which mean the film's contrast and sensitivity respectively are reliable factors for determining the need for the replenishment of the auto film processor. We need more study of simpler equations and programming for more intelligent replenishment system of the auto film processor.

• Journal of KIISE:Software and Applications
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• v.29 no.11
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• pp.803-808
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• 2002

This paper describes automatic methods for detection of kidney and kidney tumor on abdominal CT scans. The abdominal CT images were digitalized using a film digitizer and a gray-level threshold method was used to segment the kidney. Based on texture analysis results, which were perform on sample images of kidney tumors, SEED region of kidney tumor was selected as result of homogeneity test. The average and standard deviation, which are representative statistical moments, were used to as an acceptance criteria for homogeneous test. Region growing method was used to segment the kidney tumor from the center pixel of selected SEED region using a gray-level value as an acceptance criteria for homogeneity test. These method were applied to 113 images of 9 cases, which were scanned by GE Hispeed Advantage CT scanner and digitalized by Lumisvs LS-40 film digitizer. The sensitivity was 85% and there was no false-positive results.

• Radiation Oncology Journal
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• v.21 no.2
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• pp.167-173
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• 2003

Purpose: The purpose of this study was to evaluate whether a GafChromic film applied to stereotactic radiosurgery with a linear accelerator could provide information on the value for acceptance testing and quality control on the absolute dose and relative dose measurements and/or calculation of treatment planning system. Materials and methods: A spherical acrylic phantom, simulating a patient's head, was constructed from three points. The absolute and relative dose distributions could be measured by inserting a GafChromic film into the phantom. We tested the use of a calibrated GafChromic film (MD-55-2, Nuclear Associate, USA) for measuring the optical density. These measurements were achieved by irradiating the films with a dose of 0-112 Gy employing 6 MV photon. To verify the accuracy of the prescribed dose delivery to a target isocenter using a five arc beams (irradiated in 3 Gy per one beam) setup, calculated by the Linapel planning system the absolute dose and relative dose distribution using a GafChromic film were measured. All the irradiated films were digitized with a Lumiscan 75 laser digitizer and processed with the RIT113 film dosimetry system. Results: We verified the linearity of the Optical Density of a MD-55-2 GafChromic film, and measured the depth dose profile of the beam. The absolute dose delivered to the target was close to the prescribed dose of Linapel within an accuracy for the GafChromic film dosimetry (of $\pm$3$\%$), with a measurement uncertainty of $\pm$1 mm for the 50$\~$90$\%$ isodose lines. Conclusion: Our results have shown that the absolute dose and relative dose distribution curves obtained from a GafChromic film can provide information on the value for acceptance. To conclude the GafChromic flim is a convenient and useful dosimetry tool for linac based radiosurgery.

• Progress in Medical Physics
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• v.29 no.2
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• pp.53-58
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• 2018

This paper evaluates patient-specific quality assurance (PSQA) in the treatment of small and multiple tumors by the CyberKnife system with fixed collimators, using an ion chamber and EBT3 films. We selected 49 patients with single or multiple brain tumors, and the treatment plans include one to four targets with total volumes ranging from 0.12 cc to 3.74 cc. All PSQA deliveries were performed with a stereotactic dose verification phantom. The A16 microchamber (Standard Imaging, WI, USA) and Gafchromic EBT3 film (Ashland ISP Advanced Materials, NJ, USA) were inserted into the phantom to measure the point dose of the target and the dose distribution, respectively. The film was scanned 1 hr after irradiation by a film digitizer scanner and analyzed using RIT software (Radiological Imaging Technology, CO, USA). The acceptance criteria was <5% for the point dose measurement and >90% gamma passing rate using 3%/3 mm and relative dose difference, respectively. The point dose errors between the calculated and measured dose by the ion chamber were in the range of -17.5% to 8.03%. The mean point dose differences for 5 mm, 7.5 mm, and 10 mm fixed cone size was -11.1%, -4.1%, and -1.5%, respectively. The mean gamma passing rates for all cases was 96.1%. Although the maximum dose distribution of multiple targets was not shown in the film, gamma distribution showed that dose verification for multiple tumors can be performed. The use of the microchamber and EBT3 film made it possible to verify the dosimetric and mechanical accuracy of small and multiple targets. In particular, the correction factors should be applied to small fixed collimators less than 10 mm.

• Proceedings of the Korean Society of Medical Physics Conference
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• 2003.09a
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• pp.80-80
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• 2003

디지털 의료영상 획득기술과 컴퓨터 및 네트워크 기술의 발달로 현재 각 병원에서는 PACS(Picture Archiving and Communication System)를 설치하여 필름을 사용하지 않고 진단과 진료를 하는 병원이 증가하고 있으며, 이에 따라 기존 필름상태의 의료영상은 필름디지타이저로 디지털 영상화한 후 모니터를 통하여 판독과 진료에 이용하고 있다. 본 연구에서는 현재 세브란스병원에서 사용되고 있는 CCD 방식 필름디지타이저와 레이저 스캐너방식 필름디지타이저의 픽셀값 균일도에 대해 중점적으로 비교, 분석하고자 한다. 픽셀값 균일도 측정을 위해 필름프린터를 이용하여 균일한 광학밀도를 가진 필름을 출력하였다. 그 테스트 필름은 각 사분면에 각기 다른 광학밀도를 가지고 있었으며, 그 광학밀도 값은 각각 0.19, 0.71, 1.41, 그리고 3.10 이었다. 제작된 필름은 레이저 (Model 2905, Array Corp., Japan) 방식과 CCD 방식 (SEDAS Media Film Scanner, Kodak, japan) 디지타이저에 의해 디지털화 되었다. 그 영상들은 다시 분석을 위해 PACS를 통해 PC로 전송되어졌고 자체 제작된 소프트웨어를 이용하여 균일도에 대한 분석을 수행하였다. 하나의 사분면 영상에 대하여 일정한 간격과 크기로 20개의 ROI를 만들고, 그 내부의 픽셀값들의 평균값을 구하여 그 영역의 대푯값으로 하였다. 그 대푯값들 중 최대값과 최소값의 차이에 대한 백분율로써 균일도를 표시하였다. 그 결과 광학밀도가 0.19인 사분변의 영상에서의 균일도는 레이저 방식 및 CCD 방식 각각에서 99.8%, 94.3%였으며, 0.71인 사분면에서는 99.4%, 75.6%, 1.41 일때는 97.9%, 62.96%, 그리고 3.1인 사분면에서는 82.7%, 53.7%였다. 같은 광학밀도를 가진 사분면에서는 레이저방식의 균일도가 CCD 방식에 비해 더 우수함을 알 수 있었으며, 같은 방식에서 얻은 영상이라 할지라도 광학 밀도값이 높은 사분변에서 얻은 영상일수록 균일도가 떨어짐을 알 수 있었다. 결론적으로, 레이저 방식 필름 디지타이저는 균일도 면에서도 CCD 방식에 비해 우수함을 알 수 있었으며 CCD 방식은 백라이트의 균일도가 영상의 균일도에 영향을 미칠수도 있는 만큼 향후 거기에 대한 연구도 이루어져야 할 것으로 생각된다.

• Proceedings of the Korean Society of Medical Physics Conference
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• 2002.09a
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• pp.28-31
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• 2002

Filmless full-PACS in korea has rapidly been growing, since government had supported collaborative PACS project between industry and university hospital in late of 1995. At the same time, a small company had started PACS business, while the Korea PACS society was being formed. In the beginning, PACS societies had focused on developing peripheral solutions such as DICOM gateway for image acquisition, x-ray film digitizer, and viewing software for research or management of personal image data, while Samsung Medical Center had started installing an imported partial PACS system which had recently upgraded with a new system. In similar time frame, a few hospitals had started developing and installing domestic large scale full-PACS system. Several years later, many hospitals have installed full-PACS system with national policy of reimbursement for PACS exams in November 1999. It is believed that Korea is the first country that adopted PACS reimbursement for filmless full-PACS as a national policy. Both experiences of full-PACS installation and national policy generated tremendous intellectual and technological expertise about PACS at all levels, clinical, hospital management, education, and industrial sectors. There are currently three types of PACS system which includes domestic, imported, and hybrid PACS system with imported solution for core system and domestic solution for peripheral system. There are more than 20 domestic PACS companies and they have now enough experiences so that they are capable of installing a truly full-PACS system for large-scale teaching hospitals. PACS societies in Korea understand how to design, implement, install, manage, sustain, and provide good services for large-scale full-PACS. PACS society has also strength for the highest integration technology of the Hospital Information. However, further understanding and timely implementation of continuously evolving international standard and integrated healthcare enterprise concepts may be necessary for international leading of PACS technologies for the future.

• Journal of Periodontal and Implant Science
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• v.24 no.1
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• pp.165-177
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• 1994

To investigate the depth of the root concavity and root surface area of the maxillary first premolar, 40 maxillary first premolars were used. All the teeth which extracted because of advanced periodontal disease and orthodontic treatment procedure, were sectioned every 1.5mm from cementoenameljunction to the apex with hard tissue microtome. Each sectioned root was taken photograph with slide film, and projected for measuring with a calibrated digital Curvi-Meter. The root surface area, percentage of the RSA and the linear variation of the RSA were calibrated for each 1.5mm section. Linear variation of the depth of root concavity was measured on mesial and distal root surface for each section using computer-aided digitizer. The results were as follows. 1. The total mean root length of maxillary first premolar was 13.48mm. Mean buccal root length of 2-rooted tooth was 12.59mm, mean palatal root length was 12.73mm, and mean root length of single rooted tooth was 13.78mm. 2. The total mean root surface area of maxillary first premolar was $194.17mm^2$, mean root surface area for 2-rooted tooth was $205.97mm^2$ and mean root surface area for single rooted tooth was $188.49mm^2$. 3. It was 59.93% of the total root surface area that the area from CEJ to coronal 6mm. And, the coronal half of the root length accounted for approximately 71.76% of the total root surface area. 4. Most deepest concavity of the mesial root surface was 0.65mm at apical 3.0mm, 4.5mm level in maxillary first premolar. And, that of the distal root surface was 0.37mm at apical 4.5mm level. 5. All of the maxillary first premolar had mesial root surface concavity. This mesial root surface concavity appeared to be more pronounced in 2-rooted tooth than single rooted tooth.