• 제목/요약/키워드: radiographic

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족근 관절 골절에서 사면상 단순 방사선 사진의 유용성 (Usefulness of the Oblique Radiographic View in Ankle Fractures)

  • 조덕연;송상준;윤형구;한수홍;장지훈;윤병호
    • 대한족부족관절학회지
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    • 제9권1호
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    • pp.94-98
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    • 2005
  • Purpose: To compare the radiographic evaluations between two radiographic views (AP and lateral views) and four radiographic views (AP, lateral and both oblique views) in ankle fractures. Materials and Methods: From January 2000 to June 2002, 60 cases of ankle fractures were treated with open reduction and internal fixation and its followed up periods were at least 2 years. All cases were classified into three groups according to the method of preoperative radiographic evaluation. Two radiographic views (AP and lateral views) were taken in group A and four radiographic views (AP, lateral and both oblique views) were taken in group B. 12 Cases were evaluated with three dimensional computed tomography (3D CT). Four radiographic views and 3D CT were taken in group C. All cases were classified according to the Danis-Weber and Lauge-Hansen classification. Displacement of fracture fragment of medial, lateral, posterior malleolus and size of fracture fragment of posterior malleous were measured using picture archiving communication system (PACS). Results: Although kappa value between two or four radiographic views were good or excellent in Danis-Weber classification and Lauge-Hansen classification of ankle fractures, the displacements of medial and lateral malleoli were statistically different. Four radiographic views evalulated the degree of displacement of medial and lateral fragments more accurately compared to two radiographic views. Conclusion: Four radiographic views will be more useful than two radiographic views to decide the method of treatment and operation considering the displacement of fracture fragment.

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방사선적 족관절염의 유병율 (Prevalence Of Radiographic Ankle Osteoarthritis)

  • 문우남;이경상
    • 대한족부족관절학회지
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    • 제5권1호
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    • pp.13-17
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    • 2001
  • Objectives: This study was done to determine the prevalence of radiographic ankle osteoarthritis (OA) in Korean women with clinical primary ankle OA. Methods: This analysis involved 160 Korean women who visited our out patient clinic due to ankle joint pain. Ankle AP and lateral weight-bearing radiographs were evaluated retrospectively to check whether they have radiographic OA or not. Radiographs were read for features of ankle OA using School classification. Demographic factors and radiographic findings in both radiographic ankle OA group and non-radiographic ankle OA group were analyzed by the student t-test, the chi square test and the Pearson's analysis. A p value <0.05 was considered significant. Results: The prevalence of radiographic ankle OA in Korean women is 18.2 % in patient between 18 and 39 years and is 55.6 % in patient over 40. There was significant difference between two groups with age (P<0.001) and relatively strong correlation between radiographic OA and age (r=0.474, P<0.001). Conclusion: These results show that the prevalence of Korean women with radiographic changes of ankle OA was 45 % and there was relatively strong correlation between age and radiographic ankle OA.

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방사선사진 검사 선택기준에 대한 고찰 (Review of Radiographic Selection Criteria : The update is necessary)

  • 이병도
    • 대한치과의사협회지
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    • 제51권1호
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    • pp.39-45
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    • 2013
  • Radiographic examinations are used to discover and define the type and extent of disease in many clinical situations. Currently, it is common for dental patients to receive dental radiographic examinations on a routine schedule with little variation in spite of different patient signs and symptoms. Such routine scheduling of radiographic examinations may result in unnecessary patient exposure. There is also the possibility of under-utilization of radiography; this can result in inadequate or excessively delayed diagnosis. Patient selection criteria are descriptions of clinical conditions derived from patient signs, symptoms and history that identify patients who are likely to benefit from a particular radiographic examination. It makes possible making individual decisions based on history, clinical examination and risk factors. The radiographic selection criteria of dentistry have been revised in accordance with recent guidelines and peer-reviewed research in USA and Europe, but the studies of these subjects are not sufficient in our nation. In this review article, the relating factors and update necessity of radiographic selection criteria are discussed.

관전압과 X선노출시간의 변화가 X선사진의 흑화도와 대조도에 미치는 영향에 관한 실험적 연구 (EXPERIMENTAL STUDY OF INFLUENCE ON RADIOGRAPHIC DENSITY AND CONTRAST BY THE CHANGE OF KILOVOLTAGE AND EXPOSURE TIME)

  • 이병도;이상래
    • 치과방사선
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    • 제20권1호
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    • pp.113-124
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    • 1990
  • For the study of the influence of kilovoltage and exposure time on radiographic density and contrast, we measured radiographic density of aluminum step wedge which composed of contiguous 8 steps wedges of 2-16㎜ thickness with densitometer. Aluminum step wedge was radiographed on Kodak ultraspeed DF-58 and Ektaspeed EP-21 film with range of 60-90 kVp and 5-60 impulse and subject contrast of aluminum step wedge with constant radiographic density and image contrast percentage without radiographic density was evaluated. Then we evaluated the film quality of teeth and their surrounding structure according to the change of kVp and exposure time by score rating method. The obtained results were as follows: 1. Radiographic density was related to the change of kilovoltage, especially in increased exposure time. 2. With constant radiographic density, subject contrast of thin aluminum step wedges was greater in low kilovolt age than high kilovoltage, but kilovolt age had not great influence on subject contrast of thick aluminum step wedge. On the other hand, radiographic density difference between 2mm and 16mm aluminum step wedge was decreased according to in- creasing kilovoltage. 3. Without constant radiographic density, image contrast percentage was decreased with increasing kilovoltage, but was not related with the change of exposure time. 4. Radiographic contrast of teeth and their surrounding structure which was taken with the range of 60-90 kVp and 6-30 impulse had not great influence on film quality.

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서울지역 대학병원의 방사선과 카세트 소독에 관한 연구 (A Survey of the Radiographic Cassettes Disinfection of University Hospitals in Seoul)

  • 권대철;김문선;김동성;박범
    • 대한방사선기술학회지:방사선기술과학
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    • 제24권2호
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    • pp.65-70
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    • 2001
  • The purpose of this study is to prevent nosocomial infection in patients through contact of radiographic cassettes. Data were collected from radiographers working in 29 university hospitals in Seoul in February and March 2001. Radiographic cassettes were disinfected daily in 5 hospitals, weekly in 4 hospitals, monthly in 5 hospitals, bimonthly in 1 hospital and once every three months in another hospital. 12 other hospitals do not practice regular disinfections of radiographic cassettes. Gauze soaked in disinfectant solution is used in 7 hospitals while 11 hospitals used cotton and cloth soaked in disinfectant solution to clean the radiographic cassettes. 26 hospitals used 99% alcohol based disinfectant solutions while 3 hospitals used 75% alcohol based disinfectant. 26 hospitals use of intercourse cassettes outpatients and in patients. In 26 hospitals, all patients shared the same set of radiographic cassettes used in the hospitals, or in 26 hospitals, separate sets of radiographic cassettes are used for outpatients and inpatients. Separate sets of cassettes are used for ICU and inpatients in 6 others hospitals. 23 hospitals used the same sets of radiographic cassettes for all their patients. radiographic cassettes are cleaned in wash area in the study room of the radiographic department in 17 hospitals. 12 other hospitals do not have designated cleaning areas for the cassettes. All radiographers practiced hands washing with soap. All 29 hospitals surveyed have infection control committee. However, only 9 out of the 29 hospitals surveyed provided Infection disinfections control education to radiographers. Only 3 hospitals have radiographers sitting in the infection control committee. Infection management education is conducted in 63 hospitals annually, twice a year in 1 hospital and once every 3 months in 2 hospitals.

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골다공증에 따른 치조골 방사선사진농도와 하악하연두께의 변화에 대한 연구 (An Experimental Study of Radiographic Density of Alveolar Bone and Cortical Thickness of Mandible by Osteoporosis)

  • 이병도
    • Imaging Science in Dentistry
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    • 제30권4호
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    • pp.235-242
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    • 2000
  • Purpose: To evaluate the effect of the systemic osteoporosis on radiographic density of alveolar bone and cortical thickness of mandible. Materials and Methods: The bone mineral density values of lumbar and femur were measured by dual-energy X-ray absorptiometry and T scores of lumbar, femur were obtained respectively. Radiographic densities of alveolar bones and panorama mandibular index (PMI, represents as cortical thickness) were analysed statistically according to age and T score variables. Results: The radiographic density of alveolar bone of maxillary molar showed significant difference by age and femur T group. That of mandibular molar showed significant difference between femur T group. Panorama mandibular index showed significant difference between age groups. Conclusion: The radiographic density of alvealar bones was more dependent on age and femur T than lumbar T. Cortical thickness of mandible was correlated with increasing age.

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하악골 후방부위에서 다양한 방사선학적 소견을 보이는 골화성섬유종의 증례보고 (Cases report of ossifying fibroma showing various radiographic appearances in posterior mandible)

  • 이병도;오승환;손현진
    • Imaging Science in Dentistry
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    • 제40권1호
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    • pp.53-58
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    • 2010
  • Common radiographic appearances of ossifying fibroma (OF) are well demarcated margin, radiolucent or mixed lesion. Lesions for the radiographic differential diagnosis with OF include fibrous dysplasia, focal cemento-osseous dysplasia. Other confusing lesions might be the mixed lesions such as calcifying odontogenic cyst, adenomatoid odontogenic tumor, calcifying epithelial odontogenic tumor, and benign cementoblastoma. We reported three cases of OF in posterior mandible. These cases showed a little distinguished radiographic features of OF and diagnosed from a combination of clinical, radiographic, and histopathologic information. We need to further refine radiographic and histopathological features of OF and other confusing lesions with literatures review because some cases of these lesions are not easily differentiated radiographically and histopathologically.

방사선 교육 동향: 한국, 호주, 미국 방사선 교육 시스템 비교 (Changing Trends in Radiographic Education: A Comparison of Korean, Australian and the United States of America Radiographic Education Systems)

  • 최지원
    • 한국콘텐츠학회논문지
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    • 제8권9호
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    • pp.133-138
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    • 2008
  • 지난 20년간 방사선 기술 분야는 비약적으로 발전하였고 확대되었다. 이를 기반으로 하는 방사선사의 역할 및 업무영역은 해를 거듭할수록 더욱 고도화, 전문화 되고 있다. 그리고 현재 대한민국의 방사선 교육을 서구화 하고자 하는 부단한 노력이 각 대학에서 활발히 진행 중이다. 이 논문은 대한민국의 방사선 교육과 면허 제도를 재조명하고, 호주와 미국의 방사선교육, 면허제도와 비교하였다. 대한민국 방사선 교육과정과 면허 제도를 호주와 미국의 동향과 비교 분석하여, 향후 전문 직업 교육과정으로서의 방사선 교육 발전 전략을 모색하고자 한다.

인접면 치근 인공우식병소의 깊이 평가: 구내 일반 방사선사진과 디지털 방사선사진과의 비교 (The radiographic depth of approximal root cavities : A comparative study of conventional and digital radiographs)

  • 박현정;조봉혜
    • Imaging Science in Dentistry
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    • 제33권1호
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    • pp.15-20
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    • 2003
  • Purpose : To investigate the reproducibility of the conventional and digital radiographs to determine the depth of approximal root cavities. Materials and Methods : A total of 80 artificial root cavities were prepared in the approximal surfaces of premolars, maxillary and mandibular molars. Standardized radiographs were taken at the baseline (0° horizontal and 0° vertical) and at a horizontal angulation of 10° in both mesial and distal directions. Radiographic cavity depths were measured by both conventional and digital radiographs. Results: At 0° horizontal angulation, no statistically significant differences could be determined between the results of conventionally and digitally determined radiographic depths with respect to the actual cavity depths in all premolar, maxillary, and mandibular molar groups. All conventional and digital radiographic depths at both 10° mesial and distal angulations showed statistically significant increases in depth compared to the actual cavity depths (p < 0.05), with the exception of digital radiographic depth at 10° mesial angulation for premolars. There were no statistically significant differences between conventional and digital radiographic depths for all groups. Conclusion: The present study suggests that both conventional and digital radiographs provide reproducible assessment of the depth of the approximal root cavity. But horizontal X-ray beam movements are likely to result in increase in radiographic cavity depth.

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히르슈슈프룽병의 One-stage Transanal Endorectal Pull-through 술식에서 대장조영술의 의의 (Significance of Contrast Enema in One-stage Transanal Endorectal Pull-through Operation for Hirschsprung Disease)

  • 신만식;이미정;김명준;홍영주;장혜경;한석주;오정탁
    • Advances in pediatric surgery
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    • 제18권2호
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    • pp.75-82
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    • 2012
  • In one-stage transanal endorectal pull-through operation (TERPT) for Hirschsprung disease, preoperative evaluation by contrast enema (CE) is important tool in aspect of planning of surgical procedure as well as diagnosis. This study was to evaluate the significance of CE for identifying the extent of aganglionic bowel. A retrospective analysis was performed in 40 patients who underwent TERPT between 2003 and 2011. The authors reviewed the CE studies and their correlation with pathologic extent of aganglionosis. Total 66 contrast enemas were performed in 40 patients. Twenty patients underwent single CE, but 20 patients required multiple CEs. In single CE group, 17 had clear radiographic transition zone, but 3 had less definite transition zone. In multiple CE group, 17 patients who had equivocal finding in first or second CE had definite radiographic transition zone, but 3 patients of this group had less definite radiographic transition zones. Overall, 34 patients (85%)had clear radiographic transition zone by single or repeated CE. One (2.9%) out of 34 patients with clear radiographic transition zone had discordance between radiographic and pathologic transition zone. In contrast 4 (66.7%) out of 6 patients with equivocal radiographic transition zone had discordance between radiographic and pathologic transition zone. Observation of clear radiographic transition zone is important in preparation of TERPT, and repeated CE is helpful to reduce the discordance between radiographic and pathologic transition zone. Awareness of the possibility of discordance is also important if radiographic transitional zone is not clear.

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