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Doses of Pediatric and X-ray Examination Assistants according to Changes in Pediatric X-ray Exposure Conditions (소아 X선 촬영조건 변화에 따른 소아 및 촬영보조자 선량)

  • Beom-Jin Jang;Ha-Yun Nam;Hye-Min Shin;Dong-Min Yun;Seung-Kook Lee;In-Hwa Jang;Sungchul Kim
    • Journal of radiological science and technology
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    • v.46 no.5
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    • pp.409-415
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    • 2023
  • Although pediatric X-ray examinations are continuously increasing, there are not many studies on the radiation exposure to children and X-ray examination assistants according to X-ray Exposure conditions. Accordingly, we measured the radiation exposure dose of pediatric and X-ray examination assistants according to the standard guidelines and clinical average X-ray Exposure conditions when X-ray examination 10-year-old children. The effective dose and organ dose to pediatric were measured using an Dose area production meter and Monte Carlo-based PCXMC program, and the exposure dose of X-ray examination assistants was measured using an ion-chamber. When performing abdominal supine AP projection, the effective dose to children was up to 2.38 times higher under clinical average X-ray Exposure conditions than the standard guidelines. In addition, during abdominal supine AP projection, the radiation exposure dose to the X-ray examination assistants was highest on the hands at 0.0148 ~ 0.0709 mSv, and exposure dose could be reduced by up to 35% when wearing protective gloves. In conclusion, because the X-ray Exposure conditions used in clinical are unnecessarily high, unnecessary medical radiation exposure could be reduced if appropriate X-ray Exposure conditions and the radiation field area were minimized and the assistant wore shielding gloves.

Study on the Effectiveness of Radiological Technologist's Thyroid Shielding in Pediatric Paranasal Sinus X-ray Examination (어린이 부비동 엑스선 검사에서 검사자의 갑상선 차폐 효과성에 관한 연구)

  • Chang-Kyo Kwak;Jeong-Taek Kwon;Kwang-Je Lee;Il-Hwan Bae;Hye-Jung Kim;So-Mi Lee;Do-Byung Rhee
    • Journal of radiological science and technology
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    • v.47 no.3
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    • pp.197-203
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    • 2024
  • During paranasal sinus X-ray examinations in children, the radiological technologist's thyroid shield is often not implemented to shorten the examination time. This study measured the radiation exposure before and after the implementation of thyroid shielding by analyzing the difference in radiation exposure, the radiological technologist's could receive depending on the actual thyroid shielding. In the left TLD, when thyroid shielding was not performed(N), the radiation exposure dose(mSv) was 2.869 for the depth dose[Hp(10)] and 2.886 for the surface dose[H(3)], and when thyroid shielding was performed(Y), the Hp(10) was 0.033 and the H(3) was 0.034. In the right TLD, when thyroid shielding was not performed(N), the radiation exposure dose was 3.149 for Hp(10) and 3.137 for H(3), and when thyroid shielding was performed, the Hp(10) of (Y) was 0.013 and the H(3) was 0.015. The differences in the overall exposure dose measurement values are all statistically significant (p<0.05). The difference in radiation dose between when thyroid shielding was not performed and when thyroid shielding was performed was more than 99.2% in both cases, indicating a high radiation shielding rate.

Radiation Exposure Analysis of Female Nuclear Medicine Radiation Workers (여성 핵의학 방사선종사자의 피폭요인 분석)

  • Lee, Juyoung;Park, Hoon-Hee
    • Journal of radiological science and technology
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    • v.39 no.2
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    • pp.209-225
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    • 2016
  • In this study, radiation workers who work in nuclear medicine department were analyzed to find the cause of differences of radiation exposure from General Characteristic, Knowledge, Recognition and Conduct, especially females working on nuclear medicine radiation, in order to pave the way for positive defense against radiation exposure. The subjects were 106 radiation workers who were divided into two groups of sixty-four males and forty-two females answered questions about their General Characteristic, Knowledge, Recognition, Conduct, and radiation exposure dose which was measured by TLD (Thermo Luminescence Dosimeter). The results of the analysis revealed that as the higher score of knowledge and conduct was shown, the radiation exposure decreased in female groups, and as the higher score of conduct was shown, the radiation exposure decreased in male groups. In the correlation analysis of female groups, the non-experienced in pregnancy showed decreasing amount of radiation exposure as the score of knowledge and conduct was higher and the experienced in pregnancy showed decreasing amount of radiation exposure as the score of recognition and conduct was higher. In the regression analysis on related factors of radiation exposure dose of nuclear medicine radiation workers, the gender caused the meaningful result and the amount of radiation exposure of female groups compared to male groups. In the regression analysis on related factors of radiation exposure dose of female groups, the factor of conduct showed a meaningful result and the amount of radiation exposure of the experienced in pregnancy was lower compared to the non-experienced. The conclusion of this study revealed that radiation exposure of female groups was lower than that of male groups. Therefore, male groups need to more actively defend themselves against radiation exposure. Among the female groups, the experienced in pregnancy who have an active defense tendency showed a lower radiation exposure. Thus, those who have never been pregnant need to have a more active defensive conduct for the future possibility of pregnancy.

Evaluation of Photoneutron Dose for Prostate Cancer Radiation Therapy by Using Optically Stimulated Luminescence Dosimeter (OSLD) (전립선암 방사선치료 시 광자극발광선량계를 이용한 광중성자선량 평가)

  • Lee, Joo-Ah;Back, Geum-Mun;Kim, Yeon-Soo;Son, Soon-Yong;Choi, Kwan-Woo;Yoo, Beong-Gyu;Jeong, Hoi-Woun;Jung, Jae-Hong;Kim, Ki-Won;Min, Jung-Whan
    • Journal of radiological science and technology
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    • v.37 no.2
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    • pp.125-134
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    • 2014
  • This study is to provide basic information regarding photoneutron doses in terms of radiation treatment techniques and the number of portals in intensity-modulated radiation therapy (IMRT) by measuring the photoneutron doses. Subjects of experiment were 10 patients who were diagnosed with prostate cancer and have received radiation treatment for 5 months from September 2013 to January 2014 in the department of radiation oncology in S hospital located in Seoul. Thus, radiation treatment plans were created for 3-Dimensional Conformal Radiotherapy (3D-CRT), Volumetric-Modulated Arc Radiotherapy (VMAT), IMRT 5, 7, and 9 portals. The average difference of photoneutron dose was compared through descriptive statistics and variance analysis, and analyzed influence factors through correlation analysis and regression analysis. In summarized results, 3D-CRT showed the lowest average photoneutron dose, while IMRT caused the highest dose with statistically significance (p <.01). The photoneutron dose by number of portals of IMRT was $4.37{\pm}1.08mSv$ in average and statistically showed very significant difference among the number of portals (p <.01). Number of portals and photoneutron dose are shown that the correlation coefficient is 0.570, highly statistically significant positive correlation (p <.01). As a result of the linear regression analysis of number of portals and photoneutron dose, it showed that photoneutron dose significantly increased by 0.373 times in average as the number of portals increased by 1 stage. In conclusion, this study can be expected to be used as a quantitative basic data to select an appropriate IMRT plans regarding photoneutron dose in radiation treatment for prostate cancer.

Radiation dose Assesment according to the Adaptive Statistical Iterative Reconstruction Technique of Cardiac Computed Tomography(CT) (심장 CT 검사시 ASIR 적용에 따른 선량 평가)

  • Jang, Hyun-Cheol;Kim, Hyun-Ju;Cho, Jae-Hwan
    • The Journal of the Korea Contents Association
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    • v.11 no.5
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    • pp.252-259
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    • 2011
  • To identify the effects of the application of the adaptive statistical iterative reconstruction (ASIR) technique in combination with the other two factors of body mass Index (BMI) and tube potential on radiation dose in cardiac CT. The patient receiving operation the cardiac CT examination was divided four groups into according to kVp.[A group(n=20), Non-ASIR, BMI < 25, 100 kVp; B group(n=20), Non-ASIR, BMI > 25, 120 kVp; C group(n=20), 40% ASIR BMI < 25, 100 kVp; D group(n=20), 40% ASIR, BMI > 25, 120 kVp] After setting up the region of interest in the main artery central part and right coronary artery and left anterior descending artery, the CT number was measured and an average and standard deviation were analyzed. There were A group and the difference which the image noise notes statistically between C. And A group was high so that the noise could note than C group (group A, 494 ${\pm}$ 32 HU; group C, 482 ${\pm}$ 48 HU: P<0.05) In addition, there were B group and the difference noted statistically between D. And B group was high so that the noise could note than D group (group B, 510 ${\pm}$ 45 HU; group D, 480 ${\pm}$ 82 HU: P<0.05). In the qualitative analysis of an image, there was no difference (p>0.05) which a group, B group, C group, and D as to average, A group 4.13${\pm}$0.2, B group 4.18${\pm}$0.1, and C group 4.1${\pm}$0.2 and D group note statistically altogether with 4.15${\pm}$0.1 as a result of making the clinical evaluation according to the coronary artery segments. And the inappropriate image was shown to the diagnosis in all groups. As to the radiation dose, a group 8.6${\pm}$0.9 and B group 14.9${\pm}$0.4 and C group 5.8${\pm}$0.5 and D group are 10.1${\pm}$0.6 mSv.

EFFECTS OF CARCINOGENICITY AND GROWTH RAGULATORY FACTORS IN HUMAN EPITHELIAL CELLS EXPOSED WITH TOBACCO-SPECIFIC N-NITROSAMINE (흡연특이성 N-Nitrosamine이 인체상피세포의 발암화와 성장조절인자에 미치는 영향)

  • Kim, Seok-Soon;Kim, Chin-Soo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.27 no.2
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    • pp.129-134
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    • 2001
  • Since NNK is one of the most abundant tobacco-specific alkaloids and a strong carcinogenic nitrosamine, it has been used for evaluating a potential of carcinogenicity in the animal models. The present study has attempted to examine the potential of carcinogenicity of NNK in human epithelial cells, from which the cell type the most of cancers including oral cancer and nasal cavity cancer are originated. The cellular model used for the study is a human keratinocyte cell system immortalized by Ad12-SV40 hybrid virus. The cellular system has successfully been used for the carcinogenicity studies because of its limitless life span, epithelial morphology and nontumorigenicity. When cells were treated with a variety of NNK concentrations, levels of saturation density and soft agar colony formation were increased in a dose-dependent fashion. Colonies of large cell aggregates were above 5 at the higher doses. The results indicate that exposure of human cells with NNK induced loss of contact inhibition and increases of anchorage independence and cellular adhesion, which are typical characteristics of the neoplatically transformed cells. When cells were exposed with 100uM NNK for 2hr, mRNA levels of IL-1 and PAI-2 were increased in a dose-dependent manner, but expression of TGF- 1 was not affected. While expression of growth regulatory factors were altered with a short-term exposure, there was no alteration of these factors in the NNK-transformed cells. However, mRNA levels of fibronectin were increased both in the short-term treatment and in the transformation. The results suggest that altered expression of extracellular matrix such as fibronectin following short-term exposure might be fixed in the genome and these altered properties be continuously transfered throughout the cell division. Western blot analysis showed a translocation of PKC- from cytosolic fraction to the particulate fraction, indicating a possible role of NNK in the signal transduction pathway. The present study provided an evidence that NNK in the smoking may be associated with epithelial origin cancer such as oral and nasal cavity cancers. In addition, this study suggested that altered expression of extracellular matrix and PKC may play an important role in the carcinogenic mechanism of NNK.

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Characterization of Toluene Vapor Removal Efficiency Using Alnus Firma Fruit in a Biological Treatment Process (오리나무 열매를 이용한 생물처리장치에서의 톨루엔 가스 처리효율 특성)

  • 공남식;차수길;서정윤
    • Journal of Korean Society for Atmospheric Environment
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    • v.19 no.6
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    • pp.689-699
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    • 2003
  • This study was to examine characteristics of treating toluene vapor, which gets to be problematic due to its harmful carcinogenicity and mass generation from various sources, through a biological treatment facility which is environment-friendly and adopts a high-efficient and low-cost clean technology. In order to identify whether Alnus Firma Fruit (AFF) can be used as a media for a bioreactor, its utility and basic operating factors, a study was conducted on pressure drop, supply of nutrient substances and retention time which are operating factors of a biofilter, and eliminating characteristics were compared between AFF and the conventional biological activatedcarbon (BAC) widely used as filter media. In the case of AFF, the initial microbial deposits was 2.3${\times}$10$^{7}$ CFU/g dry AFF, which represents the initial microbial density higher than the case of BAC showing 5.5${\times}$10$^{6}$ CFU/g dry BAC And it took about 2 weeks to acclimate until its eliminating rate got to be increased over 90%. As a result of comparing pressure loss taking place with the lapse of time between BAC and AFF, after 130 days passed at SV 25h$^{-1}$ , BAC showed that its eliminating efficiency had a tendency to drop greatly due to a great pressure loss (0.53\longrightarrow54.7 mm$H_2O$/m) caused by an excess of biomass as accumulated. On the other hand. AFF showed that the pressure drop was 0.53 mm$H_2O$/m, about 2 times as much as the initial pressure loss of 0.4 mm$H_2O$/m, which represents no great change in the pressure loss, and its eliminating efficiency was also shown to be continuously high. Therefore, when AFF was used as a filler for a biological treatment facility, a biological filter enabling improvement of the purifying efficiency to be promoted could be provided, and moreover, the pressure loss was so small that the filler replacement cycle or the back flushing cycle could be extended. So, even in terms of the operating cost, it was identified to be an economical filler When an inorganic material was used as a filler, the biofilters performance acted sensitively on whether nutrient substances were supplied or not. In the case of AFF with low adsorptivity, addition of ethyl-alcohol increased the solubility of toluene, and consequently, biodegradation got to be actively made by microbes, and thus, its eliminating rate could be increased. As the flow velocity and the inflow concentration got to be more increased, its eliminating rate got to be lower, and particularly, an increase in the flow velocity made its eliminating rate drop more greatly than an increase in the concentration.

Environmental Radioactivity and High Incidence Rates of Stomach and Esophagus Cancer in the Van Lake Region: A Causal Relationship?

  • Akan, Zafer;Baskurt, Busranur;Asliyuksek, Hizir;Kam, Erol;Yilmaz, Ahmet;Yuksel, Mehmet Bilgehan;Biyik, Recep;Esen, Ramazan;Koca, Dogan
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.1
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    • pp.375-380
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    • 2014
  • This study examined the incidence rates of cancer cases (averages for 2006-2010) and relationships with environmental radioactivity levels. Soil and water samples were collected from provincial and district centers of Van city and the outdoor gamma doses were determined using a portable gamma scintillation detector. Gross alpha and beta, (226)Ra, (232)Th, and (40)K activities were measured in both tap water and soil samples. Although high rates of stomach and esophagus cancers have been reported previously in Van the underlying reasons have not hitherto been defined. Incidences of cancers were highest in the Gurpmar (326.0) and Ozalp (377.1) counties (p<0.001). As to the results of the gross alpha and gross beta radioactivity measurements in the drinking water, these two counties also had high beta radionuclide levels: Gurpmar ($140mBq/dm^3$) and Ozalp ($206mBq/dm^3$). Even if within the normal range, a relation between the higher rate of the incidence of stomach and esophagus cancers with that of the higher rate of beta radionuclide activity was clear. On Spearman correlation analysis, the relation between higher beta radionuclide levels and cancer incidence was found to be statistically significant (p<0.01). According to the results of the analysis, Van residents receive an average 1.86 mSv/y annual dose from outdoor gamma radiation, ingestion of radionuclides in the drinking water, and indoor $^{222}Rn$ activity. Moreover, gross alpha and beta activities were found to be extremely high in all of the lakes around the city of Van, Turkey. Further investigations with long-term detailed environmental radiation measurements are needed regarding the relationship between cancer cases and environmental radioactivity in the city of Van.

Organotin Compounds Act as Inhibitor of Transcriptional Activation with Human Estrogen Receptor

  • Cho, Eun-Min;Lee, Haeng-Seog;Moon, Jeong-Suk;Kim, Im-Soon;Sim, Sang-Hyo;Ohta, Akinori
    • Journal of Microbiology and Biotechnology
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    • v.22 no.3
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    • pp.378-384
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    • 2012
  • In aquatic invertebrates, particularly marine gastropods, organotin compounds induce irreversible sexual abnormality in females, which is termed imposex, at very low concentrations. Organotin compounds are agonists for nuclear receptors such as RXRs and $PPAR{\gamma}$. However, the imposex phenomenon has not been reported to act as an antagonist on estrogen receptors in other species, including vertebrates and invertebrates. In order to gain insights into the antagonistic activity of organotin compounds on estrogen receptors (ERs), we examined the inhibitive effect of these compounds on estradiol-dependent ${\beta}$-galactosidase activity using the yeast two-hybrid detection system consisting of a combination of the human estrogen receptor ($hER{\beta}$) ligand-binding domain and the co-activator steroid receptor co-activator-1 (SRC1). Tributyltin-hydroxide (TBT-OH) and triphenyltin-chlorine (TPT-Cl) exhibited an inhibitive effect on $E_2$-dependent transcriptional activity, similar to antagonistic chemicals such as 4-hydroxytamoxifen (OHT) or ICI 182,780, at a very low concentration of $10^{-14}$ M TBT or $10^{-10}$ M TPT, respectively. The yeast growth and transcriptional activity with transcriptional factor GAL4 did not exhibit any effect at the tested concentration of TBT or TPT. Moreover, the yeast two-hybrid system using the interaction between p53 and the T antigen of SV40 large did not describe any effect at the tested concentration of OHT or ICI 182,780. However, the interaction between p53 and T antigen was inhibited at a TBT or TPT concentration of $10^{-9}$ M, respectively. These results indicate that TBT and TPT act as inhibitors of ER-dependent reporter gene transcriptional activation and of the interaction between $hER{\beta}$ LBD and the co-activator SRC1 in the yeast two-hybrid system. Consequently, our data could partly explain the occurrence of organotin compound-induced imposex on the endocrine system of mammals, including humans.

Low-Tube-Voltage CT Urography Using Low-Concentration-Iodine Contrast Media and Iterative Reconstruction: A Multi-Institutional Randomized Controlled Trial for Comparison with Conventional CT Urography

  • Kim, Sang Youn;Cho, Jeong Yeon;Lee, Joongyub;Hwang, Sung Il;Moon, Min Hoan;Lee, Eun Ju;Hong, Seong Sook;Kim, Chan Kyo;Kim, Kyeong Ah;Park, Sung Bin;Sung, Deuk Jae;Kim, Yongsoo;Kim, You Me;Jung, Sung Il;Rha, Sung Eun;Kim, Dong Won;Lee, Hyun;Shim, Youngsup;Hwang, Inpyeong;Woo, Sungmin;Choi, Hyuck Jae
    • Korean Journal of Radiology
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    • v.19 no.6
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    • pp.1119-1129
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    • 2018
  • Objective: To compare the image quality of low-tube-voltage and low-iodine-concentration-contrast-medium (LVLC) computed tomography urography (CTU) with iterative reconstruction (IR) with that of conventional CTU. Materials and Methods: This prospective, multi-institutional, randomized controlled trial was performed at 16 hospitals using CT scanners from various vendors. Patients were randomly assigned to the following groups: 1) the LVLC-CTU (80 kVp and 240 mgI/mL) with IR group and 2) the conventional CTU (120 kVp and 350 mgI/mL) with filtered-back projection group. The overall diagnostic acceptability, sharpness, and noise were assessed. Additionally, the mean attenuation, signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), and figure of merit (FOM) in the urinary tract were evaluated. Results: The study included 299 patients (LVLC-CTU group: 150 patients; conventional CTU group: 149 patients). The LVLC-CTU group had a significantly lower effective radiation dose ($5.73{\pm}4.04$ vs. $8.43{\pm}4.38mSv$) compared to the conventional CTU group. LVLC-CTU showed at least standard diagnostic acceptability (score ${\geq}3$), but it was non-inferior when compared to conventional CTU. The mean attenuation value, mean SNR, CNR, and FOM in all pre-defined segments of the urinary tract were significantly higher in the LVLC-CTU group than in the conventional CTU group. Conclusion: The diagnostic acceptability and quantitative image quality of LVLC-CTU with IR are not inferior to those of conventional CTU. Additionally, LVLC-CTU with IR is beneficial because both radiation exposure and total iodine load are reduced.