디지털 유방확대촬영술에서 노출방식에 따른 피폭선량 평가

The Evaluation of Radiation Dose by Exposure Method in Digital Magnification Mammography

  • 김미영 (단국대학교병원 영상의학과) ;
  • 김화선 (안산대학교 방사선과)
  • Kim, Mi-Young (Dept. of Diagnostic Radiology, Dankook Univ. Hospital) ;
  • Kim, Hwa-Sun (Dept. of Radiologucal Technology, Ansan University)
  • 투고 : 2012.10.30
  • 심사 : 2012.12.11
  • 발행 : 2012.12.31

초록

디지털 유방촬영술은 유방의 두께 및 유선조직의 밀도에 따라 노출조건이 자동으로 이루어지는 자동노출제어장치를 사용하고 있는데 이는 피폭선량을 증가시키는 원인이 되기도 한다. 이 연구에서는 디지털 유방확대촬영술에서 영상의 질을 유지하며 불필요한 방사선 피폭을 줄이기 위한 최적의 방사선량 촬영조건을 알아보았다. 자동노출방식을 사용할 경우 가장 좋은 영상화질을 얻을 수 있었으나 평균유선선량 역시 가장 높았다. 수동노출방식의 경우 자동노출방식의 55 % 정도의 mAs 값만으로도 기준 팬텀영상 점수와 신호대잡음비를 얻을 수 있으며 평균유선선량은 55 % 이하로 줄일 수 있었다. 위와 같은 결과를 참고로 하면 디지털 유방확대촬영 시 자동노출방식보다는 수동노출방식을 이용함으로써 불필요한 환자의 피폭선량을 줄일 수 있을 것이라 생각된다.

In digital mammography, Exposure factor were automatically chosen using by measurement breast thickness and the density of mammary gland. It may cause a increase glandular dose. The purpose of this study was to investigate optimal image quality in digital magnification mammography to decrease radiation exposure of patient dose. Auto mode gives the best image quality however, AGD showed better image quality. Image quality of manual mode passed phantom test and SNR at 55% mAs of auto mode commonly used in the digital magnification mammography. Also it could reduce AGD. According to result, manual mode may reduce the unnecessary radiation exposure in digital magnification mammography.

키워드

참고문헌

  1. Ministry of Health and Welfare: 유방엑스선검사에 서 환자선량 권고량 가이드라인, 방사선안전관리 시리즈, 16, 2008
  2. Tabar, L., Yen, M. F., Vitak, B., Chen, H. H., Smith, R. A., Duffy, S. W.: Mammography Service Screening and Mortality in Breast Cancer Patient: 20-year Follow-up Before and After Introduction of Screening, Lancet, 361, 1405-1410, 2003 https://doi.org/10.1016/S0140-6736(03)13143-1
  3. Duffy, S. W., Tabar, L., Chen, H. H. Holmqvist, M., Yen, M. F., Abdsalah, S., et al.: The Impact of Organized Mammography Service Screening on Breast Carcinoma Mortality in Seven Swedish Counties, Cancer, 95, 458-469, 2002 https://doi.org/10.1002/cncr.10765
  4. Park, J. Y., Baek, S. M.: A Study on the Actual Conditions and Characteristics of Mammographic Units in Some Area, Journal of the Korean Society of Radiology, 6, 121-127, 2012 https://doi.org/10.7742/jksr.2012.6.2.121
  5. Mandelson, M. T., Oestreicher, N., Porter, P. L., White. D., Finder, C. A., Taplin, S. H., et al.: Breast Density as a Predictor of Mammogrphic Detection: Comparison of Interval and Screen- Detected Cancers, Journal of the National Cancer Institute, 92, 1081-1087, 2000 https://doi.org/10.1093/jnci/92.13.1081
  6. Moon, W. K.: The Use of Computer-Aided Detection System and Digital Mammography in Seoul National University Hospital, The Second Seoul International Symposium for Computer- Aided Diagnosis Proceeding, 24-25, 2004
  7. Shin, G. S., Kim, J M., Kim, Y. H., Choi, J. H., Kim, C. K.: Comparison of Avergae Glandular Dose in Screen-Film and Digital Mammography Using Breast Tissue-Equivalent Phantom, Journal of Radiological Science and Technology, 30(1), 13-23, 2007
  8. Cho, E. H., Lee, E. J., Joo, M. H., Lee, K. W., Ha, D. Y.: The Study for Average Glandular Dose Reduction in Digital Mammography, Seoul Radiological Technologists Association, 2009
  9. Hong, K. H.: Study on Averae Glandula Dose Measured using Mammo Phantom(CIRS model 15) on Mammography Equipment, Master's Thesis, Korea University, 2011
  10. Svahn. T., Hemdal, B., Ruschin. M., Chakraborty. D., Andersson. I., Tingberg. A., et al.: Dose Reduction and Its Influence on Diagnostic Accuracy and Radiation Risk in Digital Mammography: an Observer Performance Study Using an Anthropomorphic Breast Phantom, British Journal of Radiology, 80, 557-562, 2007 https://doi.org/10.1259/bjr/29933797
  11. GE Medical System: Senographe 2000 D DAP: Quality Control Tests for MQSA Facilities-QC Manual, 15-25, 2003
  12. Kim, S. Y., Kim, M. H., Oh, K. K.: Analysis and Comparison of Breast Density according to Age on Mammogram between Korean and Western Women, Korean Journal of Radiology, 42, 1009-1014, 2000
  13. Shin, G. S., Choi, J. H., Kim, Y. H., Kim, Y. H., Kim, C. K., Jang, J. H.: Patient Dose in Mammography , Journal of Radiological Science and Technology, 28(4), 292-299, 2005
  14. Kwoen, D. C., Lee, E. M., Park, P.: Measurement of the Compression Force and Thickness applied during Mammography, Journal of Radiological Science and Technology, 26(2), 229-35, 2003