Journal of radiological science and technology (대한방사선기술학회지:방사선기술과학)

Korean Society of Radiological Science (대한방사선과학회)
권호 표지

A Literature Review and Analysis of Dosimetry in Panoramic Radiography

파노라마 촬영의 피폭선량에 관한 문헌분석 연구

  • Kweon, Dae-Cheol (Department of Radiologic Science, Shin Heung College University) ;
  • Dong, Kyung-Rae (Department of Radiological Technology, Gwangju Health College University) ;
  • Jung, Jae-Eun (Department of Digital Management and Information, Graduate School, Nambu University) ;
  • Lee, Kyeong-Hee (Department of Dental Hygiene, Shin Heung College University) ;
  • Kim, Soo-Kyung (Department of Dental Hygiene, Shin Heung College University) ;
  • Kim, Wook-Tae (Department of Dental Technology, Shin Heung College University) ;
  • Lee, Cheong-Jae (Department of Dental Technology, Shin Heung College University) ;
  • Song, Woon-Heung (Department of Clinical Laboratory Science, Shin Heung College University) ;
  • Ma, Sang-Chull (Department of Radiologic Science, Shin Heung College University)
  • Received : 2009.10.31
  • Accepted : 2010.02.24
  • Published : 2010.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Dental panoramic radiography is an imaging technique which shows the information of teeth, jaws and superficial structures on a single image. In this study, we propose the clinical dose reference for dental panoramic radiography. Dental panoramic radiography is an application which can increase the radiation does of oral cavity. It is very important to study the real condition of management for these panoramic X-ray equipments. Since there was no researches on dental panoramic equipments in domestic and foreign study groups, we measured and analyzed the dose such as effective dose, DAP and DWP of panoramic radiography.

치과파노라마 촬영은 구강에 대한 선량의 증가와 안전관리가 필요하여 이에 대한 안전관리 및 장치관리에 대한 실태의 조사와 연구가 필요하다. 치과파노라마 촬영에 대한 기본 데이터 확보와 파노라마 촬영에 대한 국내 및 국외의 문헌에 대한 보고와 조사가 전무하여 이에 대한 조사 및 선량의 측정이 필요하다. 파노라마 촬영에 따른 유효선량, DAP, DWP를 분석하였고, ICRP에서 규정한 흡수선량과 가중계수 및 논문에서 국외의 진단참고준위를 참고하였다. 파노라마 촬영은 방사선의 피폭에 따른 환자에게 위험도를 수반하므로 진단참고 준위를 참조하여 환자의 방사선 방어를 최적화해야 한다. 또한 파노라마 방사선 촬영은 부위에 따라 흡수선량의 차이가 있어 선량에 가능한 노출되지 않도록 해야 한다.

Keywords

References

  1. 김병삼, 최갑식, 김진수 : 파노라마 촬영시 두경부 주요기관에 대한 흡수선량 분포, 치과방사선, 20(2), 253-264, 1990
  2. 김애지, 나경수, 도시홍, 김현자, 유명진 : 각이등분법 및 평행법에 의한 전악 구내 표준촬영시 두경부 피부흡수선량 비교, 치과방사선, 20(2), 315-333, 1990
  3. 조봉혜, 나경수, 이애련 : 파노라마 촬영시의 두경부 주요기관의 등가선량, 유효선량 및 위험도, 치과방사선, 25(2), 437-445, 1995
  4. Avendanio B, Frederiksen NL, Benson BW, Sokolowski TW : Effective dose and risk assessment from detailed narrow beam radiography, Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 82(6), 713-719, 1996 https://doi.org/10.1016/S1079-2104(96)80448-3
  5. Cederberg RA, Frederiksen NL, Benson BW, Sokolowski TW : Effect of the geometry of the intraoral position-indicating device on effective dose, Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 84(1), 101-109, 1997 https://doi.org/10.1016/S1079-2104(97)90304-8
  6. Dula K, Mini R, van der Stelt PF, Buser D : The radiographic assessment of implant patients : decision-making criteria, Int J Oral Maxillofacial Implants, 16(1), 80-89, 2001
  7. Gijbels F, Jacobs R, Sanderink G, De Smet E, Nowak B, Van Dam J, Van Steenberghe D : A comparison of the effective dose from scanography with periapical radiography, Dentomaxillofacial Radiol, 31(3), 159-163, 2002 https://doi.org/10.1038/sj.dmfr.4600683
  8. Velders XL, J van Aken, van der Stelt PF : Risk assessment from bitewing radiography. Dentomaxillofacial Radiol, 20(4), 209-213, 1991 https://doi.org/10.1259/dmfr.20.4.1808009
  9. White SC : Assessment of radiation risk from dental radiography, Dentomaxillofacial Radiol, 21(3), 118-126, 1992
  10. Danforth RA, Clark DE : Effective dose from radiation absorbed during a panoramic examination with a new generation machine, Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 89(2), 236-243, 2000 https://doi.org/10.1067/moe.2000.103526
  11. Frederiksen NL, Benson BW, Sokolowski TW : Effective dose and risk assessment from film tomography used for dental implant diagnostics, Dentomaxillofacial Radiol, 23(3), 123-127, 1994 https://doi.org/10.1259/dmfr.23.3.7835511
  12. Gori C, Rossi F, Stecco A, Villari N, Zatelli G : Dose evaluation and quality criteria in dental radiology, Radiat Prot Dosimetry, 90, 225-227, 2000 https://doi.org/10.1093/oxfordjournals.rpd.a033125
  13. Lecomber AR, Downes SL, Mokhtari M, Faulkner K : Optimisation of patient doses in programmable dental panoramic radiography, Dentomaxillofacial Radiol, 29(2), 107-112, 2000 https://doi.org/10.1038/sj.dmfr.4600513
  14. Lecomber AR, Faulkner K : Conference Proceeding : Dose and risk in Dental Radiography, Radiat Prot Dosimetry, 80, 249-252, 1998 https://doi.org/10.1093/oxfordjournals.rpd.a032517
  15. Gijbels F, Bou Serhal C, Willems G, Bosmans H, Sanderink G, Persoons M, Jacobs R : Diagnostic yield of conventional and digital cephalometric images : a human cadaver study, Dentomaxillofacial Radiol, 30(2), 101-105, 2001 https://doi.org/10.1038/sj.dmfr.4600585
  16. Maillie HD, Gilda JE : Radiation-induced cancer risk in radiographic cephalometry, Oral Surg Oral Med Oral Pathol, 75(5), 631-637, 1993 https://doi.org/10.1016/0030-4220(93)90239-Z
  17. Visser H, Rodig T, Hermann KP : Dose reduction by direct-digital cephalometric radiography, Angle Orthodontist, 71(3), 159-163, 2001
  18. Dula K, Mini R, Lambrecht JT, van der Stelt PF, Schneeberger P, Clemens G, Sanderink H, Buser D : Hypothetical mortality risk associated with spiral tomography of the maxilla and mandible prior to endosseous implant treatment, Eur J Oral Sciences, 105(2), 123-129, 1997 https://doi.org/10.1111/j.1600-0722.1997.tb00190.x
  19. Scaf G, Lurie AG, Mosier KM, Kantor ML, Ramsby GR, Freedman ML : Dosimetry and cost of imaging osseointegrated implants with filmbased and computed tomography, Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 83(1), 41-48, 1997 https://doi.org/10.1016/S1079-2104(97)90089-5
  20. Frederiksen NL, Benson BW, Sokolowski TW : Effective dose and risk assessment from computed tomography of the maxillofacial complex, Dentomaxillofacial Radiol, 24(1), 55-58, 1995 https://doi.org/10.1259/dmfr.24.1.8593910
  21. Choi SC : Difference in radiation absorbed dose according to the panoramic radiographic machines, Korean J Oral Maxillofacial Radiol, 30(1), 11-15, 2000
  22. Choi SC, Choi HM : Absorbed dose in the full-mouth periapical radiography, panoramic radiography, and zonography, Korean J Oral Maxillofacial Radiol, 29(1), 255-260 1999
  23. Kaeppler G, Buchgeister M, Reinert S : Influence of the rotation centre in panoramic radiography. Radiat Prot Dosimetry, 128(2), 239-44, 2008
  24. Kuba RK, Beck JO Jr : Radiation dosimetry in Panorex roentgenography. Part 3. Radiation measurements, Oral Surg Oral Med Oral Pathol, 25(2), 393-404, 1968 https://doi.org/10.1016/0030-4220(68)90014-5
  25. Weissman DD, Longhurst GE : Comparative absorbed doses in periapical radiography. II. Panorex, Oral Surg Oral Med Oral Pathol, 33(4), 661-668, 1972 https://doi.org/10.1016/0030-4220(72)90376-3
  26. Stenstroem B, Julin P, Karlsson L : Comparison between panoramic radiographic techniques. Part IV : absorbed doses and energy imparted from the Orthopantomograph, model OP 10, Dentomaxillofacial Radiol, 16(1), 11-15, 1987 https://doi.org/10.1259/dmfr.1987.0001
  27. Wall BF, Fisher ES, Paynter R, Hudson A, Bird PD : Doses to patients from pantomographic and conventional dental radiography, Br J Radiol, 52, 727-734, 1979 https://doi.org/10.1259/0007-1285-52-621-727
  28. Underhill TE, Chilvarquer I, Kimura K, Langlais RP, McDavid WD, Preece JW, et al : Radiobiologic risk estimation from dental radiology. Part I. Absorbed doses to critical organs, Oral Surg Oral Med Oral Pathol, 66(1), 111-120, 1988 https://doi.org/10.1016/0030-4220(88)90077-1
  29. Manson-Hing LR, Greer DF : Radiation exposure and distribution measurements for three panoramic x-ray machines, Oral Surg Oral Med Oral Pathol, 44(2), 313-321, 1977 https://doi.org/10.1016/0030-4220(77)90286-9
  30. Bankvall G, Engstrom H, Engstrom C, Hollender L : Absorbed doses in the craniofacial region during various radiographic and radiotherapeutic procedures, Dentomaxillofacial Radiol, 14(1), 19-24, 1985 https://doi.org/10.1259/dmfr.1985.0001
  31. Bristow RG, Wood RE, Clark GM : Thyroid dose distribution in dental radiography, Oral Surg Oral Med Oral Pathol, 68(4), 482-487, 1989 https://doi.org/10.1016/0030-4220(89)90150-3
  32. Gibbs SJ, Pujol A, McDavid WD, Welander U, Tronje G : Patient risk from rotational panoramic radiography, Dentomaxillofacial Radiol., 17(1), 25-32, 1988 https://doi.org/10.1259/dmfr.1988.0003
  33. Takahashi J, Todokoro T, Nishikawa S, Shiojima M, Kikuchi A : Patient exposures from full mouth roentgenography, orthopantomography and panagraphy. Proceedings of the 3rd International Congress of Maxillofacial Radiology, Kyoto, 199-202, 1974
  34. Altonen M, Heikkila M, Mattila K : A comparative study of radiation doses received during examinations with the Pantomograph, Ortho-pantomograph, Panorex, Status-X and conventional roentgen apparatus, Proc. Finn Dent. Soc., 70(1), 67-74, 1974
  35. Bushong SC, Glaze SA, Foster JK, Copley RL, Miller JT : Panoramic dental radiography for mass screening?, Health Phys, 25(5), 489-494, 1973 https://doi.org/10.1097/00004032-197311000-00003
  36. Nilsson L, Rohlin M, Thapper K : Exposure distribution, absorbed doses, and energy imparted for panoramic radiography using Orthopantomograph model OP 5, Oral Surg Oral Med Oral Pathol, 59(2), 212-219, 1985 https://doi.org/10.1016/0030-4220(85)90021-0
  37. International Commission on Radiological Protection, 2007 Recommendations of the International Commission on Radiological Protection, ICRP Publication 103. Ann. ICRP 37(2-4), 2007
  38. IAEA : International basic safety standards for protection against ionizing radiation and the safety of radiation source. IAEA safety series No.115, Vienna, 279-280, 1996
  39. Poppe B, Looe HK, Pfaffenberger A, Eenboom F, Chofor N, Sering M, Ruehmann A, Poplawski A, Willborn K : Radiation exposure and dose evaluation in intraoral dental radiology, Radiat Prot Dosimetry, 123(2), 262-267, 2007 https://doi.org/10.1093/rpd/ncl113
  40. Doyle P, Martin CJ, Robertson J : Techniques for measurement of dose width product in panoramic dental radiography, Br J Radiol., 79, 142-147, 2006 https://doi.org/10.1259/bjr/33207232
  41. Napier D, Reference doses for dental radiography, Br. Dental J., 186(8), 392-396, 1999
  42. Isoardi P, Ropolo R : Measurement of dose-width product in panoramic dental radiology, Br J Radiol, 76, 129-131, 2003 https://doi.org/10.1259/bjr/58851704
  43. Perisinakis K, Damilakis J, Neratzoulakis J, Gourtsoiannis N : Determination of dose-area product from panoramic radiography using a pencil ionization chamber : normalized data for the estimation of patient effective and organ doses, Med Phys, 31(4), 708-714, 2004 https://doi.org/10.1118/1.1650686
  44. Williams JR, Montgomery A : Measurements of dose in panoramic dental radiology, Br J Radiol, 73, 1002-1006, 2000
  45. Oduko J : Optimisation of patient dose and image quality in dental radiology- Over 65 time to retire your OPG? IPEM Meeting, New York, March 2001
  46. Looe HK, Eenboom F, Chofor N, Pfaffenberger A, Sering M, Ruhmann A, Poplawski A,Willborn K, Poppe B : Dose-area product measurements and determination of conversion coefficients for the estimation of effective dose in dental lateral cephalometric radiology, Radiat Prot Dosimetry, 124(2), 181-186, 2007 https://doi.org/10.1093/rpd/ncm143
  47. Tierris CE, Yakoumakis EN, Bramis GN, Georgiou E : Dose area product reference levels in dental panoramic radiology, Radiat Protection Dosimetry, 111(3), 283-287, 2004 https://doi.org/10.1093/rpd/nch341
  48. Stenstroem B, Henriksson CO, Karlsson L, Sarby B : Effective dose equivalent from intraoral radiography, Swed Den J, 11(1-2), 71-77, 1987
  49. Helmrot E : Systematic analysis of a radiological diagnostic system : a method for application in the effective use of X-rays in intraoral radiology, Thesis, Linkoeping University Medical Dissertations No. 498, 1996
  50. Visser, H : Investigation into the Optimization of Periodontal Radiography (Untersuchungen zur Optimierung der parodontologischen Rontgendiagnostik), Berlin, Germany : Quintessenz Publishing, 2000
  51. Williams JR, Montgomery A : Measurement of dose in panoramic dental radiology, Br J Radiol, 73, 1002-1006, 2000
  52. Perisinakis K, Damilakis J, Neratzoulakis J, Gourtsoyiannis N : Determination of dose-area product from panoramic radiography using a pencil ionization chamber : normalized data for the estimation of patient effective and organ doses, Med Phys, 31(4), 708-714, 2004 https://doi.org/10.1118/1.1650686
  53. Looe HK, Eenboom F, Chofor N, Pfaffenberger A, Steinhoff M, Ruhmann A, Poplawski A, Willborn K, Poppe B : Conversion coefficients for the estimation of effective doses in intraoral and panoramic dental radiology from dose-area product values, Radiat Prot Dosimetry, 131(3), 365-173, 2008 https://doi.org/10.1093/rpd/ncn172
  54. 2008년 진료비통계지표, 건강보험심사평가원, 2009
  55. Kim EK : Leakage and scattered radiation from hand-held dental x-ray unit, Korean Oral Maxillofacial Radiol, 37(2), 65-68, 2007
  56. American Dental Association and U.S. Department of Health and Human Services. The selection of patients for dental radiographic examinations. Chicago : American Dental Association ; 2004.
  57. Goren AD, Lundeen RC, Deahl ST 2nd, Hashimoto K, Kapa SF, Katz JO, et al : Updated quality assurance self-assessment exercise in intraoral and panoramic radiography. American Academy of Oral and Maxillofacial Radiology, Radiology Practice Committee, Oral Surg Oral Med Oral Pathol Oral Radiol Endod., 89(3), 369-374, 2000 https://doi.org/10.1016/S1079-2104(00)70104-1