일반 X-선 촬영에서의 환자피폭선량에 관한 조사연구

Patient Dose for Diagnostic Radiological Procedures in Korea

IAEA에서 제공한 선량기준은 서양 사람을 기준으로 개발된 것이어서 우리 한국 사람에게는 맞지 않고, 상대적으로 우리나라의 환자선량은 적으리라 예상된다. 따라서 선량기준을 따로 개발해야할 필요가 있다. 그래서 본 연구팀은 병원협회에 등록되어 있는 종합병원 278개를 대상으로 환자 피폭에 대한 설문조사를 실시하였다. 설문회수율은 57.9%였으며 각 병원에서의 촬영조건을 기초로 NDD법을 이용하여 환자 피폭선량을 계산하였고 설문지를 분석한 결과를 보고한다.

IAEA's Guidance Levels have been provided for Western people to the end. Guidance levels lower than the IAEA'S will be necessary in view of korean people's proportions. Therefore, We need to develope the standard doses for korean people. And we conducted a nationwide survey of patient dose from x-ray examinations in korea. 278 institutions were selected from Members Book of Korean Hospital Association. The valid response rate was approximately 57.9%. Doses were calculated from the questionnaires by NDD method. The results were as follows; 1) General radiographic equipments were 43%, fluoroscopic equipments 29%, dental equipments 13%, CT units 8% and mamographic units 7%. 2) According to classification by rectification way, three-phase equipments were 30%, inverter-type generators 29%, single- phase equipments 26%, unknown units 6%. 3) According to classification by receptor system, film-screen types were 46%, CR types 27%, OR types18% and unknown types 9%. 4) The number of examinations were chest 48%, spine 17% and abdomen 13%. 5) Patient doses were head AP 3.1 mGy, abdomen AP 3.5 mGy and chest PA 0.4 mGy.