Journal of the Korean Society of Radiology (한국방사선학회논문지)

The Korean Society of Radiology (한국방사선학회)
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The Effect of Source to Image-Receptor Distance(SID) on Radiation Dose for Digital Chest Radiography

Digital Chest Radiography에서 방사선량에 대한 Source to Image-Receptor Distance (SID)의 영향

  • Kwon, Soonmu (Department of Radiologic Technology, Daegu Health College) ;
  • Park, Changhee (Department of Radiologic Technology, Daegu Health College) ;
  • Park, Jeongkyu (Department of Radiologic Technology, Daegu Health College) ;
  • Son, Woonheung (Department of Clinical Laboratory Science Shinhan University) ;
  • Jung, Jaeeun (Department of Radiologic Technology, Daegu Health College)
  • 권순무 (대구보건대학교 방사선과) ;
  • 박창희 (대구보건대학교 방사선과) ;
  • 박정규 (대구보건대학교 방사선과) ;
  • 송운흥 (신한대학교 임상병리학과) ;
  • 정재은 (대구보건대학교 방사선과)
  • Received : 2014.06.07
  • Accepted : 2014.06.25
  • Published : 2014.06.30
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Abstract

Chest radiography has been typically performed at SID of 180 cm. Image quality and patient dose were investigated between 180 cm and 340 cm by 20 cm intervals at 120 kVp and 320 mAs with the AEC. VGA was performed for qualitative assessment and SNR was analysed for quantitative assessment on the image of the chest phantom. Patients dose was measured by ESAK and PCXMC was used for effective dose. As a result, when using the standard of SID of 180 cm which is typically used in the clinical practice, in the case of ESAK, 240 cm, 280 cm, and 320 cm were 8.7%, 11.47%, and 13.56% respectively therefore significant reduction was confirmed. In the case of effective dose, 2.89%, 4.67%, and 6.41% in the body and 5.08%, 6.09%, and 9.6% in lung were reduced. In the case of SNR, 9.04%, 8.24%, and 11.46% were respectively decreased especially, by 8.03% between SID of 260 cm and 300 cm, but SNR was 5.24 up to 340 cm. There were no significant differences in VGA thus the image is valuable in diagnosis. It is predicted that increasing SID up to 300 cm in digital chest radiography can reduce patient dose without decreasing image quality.

X선을 이용한 chest radiography는 일반적으로 180 cm의 SID에서 실시되고 있다. digital chest radiography에서 AEC를 적용하고 120 kVp, 320 mA에서 SID를 180 cm부터 340 cm까지 20 cm 단위로 증가시켜 가며 영상의 질과 환자선량의 관계를 알아보았다. chest phantom 영상의 정성적인 영상평가를 위해 VGA를, 정량적인 평가를 위해 SNR을 분석하였다. 선량은 ESAK로 측정하고 effective dose는 PCXMC를 이용하였다. 연구결과 일반적으로 시행되는 SID 180 cm를 기준으로 했을 때, ESAK의 경우 240 cm, 280 cm, 320 cm에서 각각 8.7%, 11.47%, 13.56%의 유의한 감소가 있었다. effective dose의 경우 전신에 대해 2.89%, 4.67%, 6.41%의 감소, 폐에서 5.08%, 6.98%, 9.6%의 감소가 관찰되었다. SNR의 경우 각각 9.04%, 8.24%, 11.46%의 감소가 관찰되었으며 특히, SID 260 cm ~ 300 cm 구간에서 8.03%의 작은 감소가 나타났고 SID 340 cm까지도 5.24로 5이하로 감소되지 않았다. VGA에서는 통계적으로 유의한 차이가 없는 진단적 가치가 높은 영상으로 평가되었다. 따라서 eigital chest radiography에서 SID를 300 cm까지 증가시킴으로 화질의 저하 없이 환자선량을 감소시킬 수 있을 것으로 기대된다.

Keywords

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