한국방사선학회논문지 (Journal of the Korean Society of Radiology)

  • 제9권7호
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  • Pages.501-508
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  • 2015
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  • 1976-0620(pISSN)
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  • 2384-0633(eISSN)
한국방사선학회 (The Korean Society of Radiology)
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무릎 과간와(Intercondyloid fossa) 촬영용 평면 Cone의 유용성에 대한 고찰

Contemplation on Usefulness of Plane Cone for Taking Image of Intercondyloid Fossa

  • 신운재 (동의과학대학교 방사선과)
  • Shin, WoonJae (Department of Radiological Technology, Dong-Eui Institute of Technology)
  • 투고 : 2015.12.03
  • 심사 : 2015.12.14
  • 발행 : 2015.12.31
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초록

무릎 과간와 X선 촬영법은 Holmblad법, Camp-Coventry법, Beclere법의 다양한 방법들이 임상에서 시행되고 있다. 무릎관절의 과간와 촬영은 단순 골절과 십자인대와 관련한 진단에 기본검사로 많이 시행되고 있으며 환자의 상태와 통증을 고려하여 안전한 방법을 선택하게 되는데, Holmblad법은 카세트에 밀착되는 무릎 부위에서 통증을 유발할 수 있으므로 쉽게 사용하지 않고 있다. 본 연구에서는 자체 제작한 평면 원형 cone을 카세트에 부착하여 Holmblad법 자세에서 통증 경감에 대한 인식을 파악하기 위해 100명의 자원자의 설문지를 비교 분석하였고, 산란선에 의한 영상화질의 농도는 인체 팬텀을 X선으로 촬영하여 농도계로 측정 하였다. 그 결과 Holmblad법 자세에서 통증에 대한 인식은 평균 99% 경감되었으며, 팬텀을 이용하여 촬영한 X선 필름에 대한 농도는 자체 제작한 평면 원형 cone을 사용하지 않은 카세트에 비교하여 산란선에 의한 농도변화가 통계적으로 유의하게 감소되어 임상에서 유용하게 사용될 수 있을 것으로 사료된다.

There are various Intercondyloid fossa X-ray taking methods. The methods carried out in clinics are Holmblad method, Camp-Conventry method, and Beclere method. Taking image of Intercondyloid fossa is carried a lot as basic examination for diagnosis related to simple fracture and cruciate ligament. Considering the condition and pains of patients, safe method is chosen but because Holmblad method can cause pains to knee part adhering to cassette, it is not easily used. In this study self-produced plane circular cone was attached to a cassette and in the posture for Holmblad method questionnaires of 100 applicants were analyzed to understand cognition on alleviation of pains, and the concentration of imge quality by scattering rays was measured with densitometer by taking human body phantom with X-ray. As a result, in the posture for Holmblad method, cognition on pains was alleviated by average 99%, and the change of concentration of X-ray film taken using phantom by scattering rays decreased statistically significantly compared to the cassette which did not use self-produced plane cone, therefor it is thought that the method can be valuably used in clinics.

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