DOI QR코드

DOI QR Code

C-Arm 장비의 사용 시 시술자의 피폭선량 저 감화 방법 연구

Study on the Method for Reducing the Operator's Exposure Dose From a C-Arm System

  • 김기식 (동신대학교 방사선학과) ;
  • 송종남 (동신대학교 방사선학과) ;
  • 김승옥 (가톨릭관동대학교 국제성모병원 영상의학과)
  • Kim, Ki-Sik (Department of Radiological Science, Dongshin University) ;
  • Song, Jong-Nam (Department of Radiological Science, Dongshin University) ;
  • Kim, Seung-Ok (Department of Radiology, Catholic Kwandong University International ST.Mary's Hospital)
  • 투고 : 2016.07.25
  • 심사 : 2016.12.02
  • 발행 : 2016.12.31

초록

C-arm장비의 사용 시 시술자의 산란선에 의한 피폭선량을 확인하여 적절하고 효율적인 피폭선량 저 감화 방법을 알아보기 위해 본 연구를 진행하였다. Over Tube 방식에 비해 피폭선량이 적다는 Under Tube 방식의 C-arm 장비를 활용하여 연구한 결과 차폐도구가 두꺼울수록 시술자의 피폭선량은 감소하였고, 중심선에서 멀어질수록 피폭선량이 감소하였고, 조사시간이 길어질수록 피폭선량이 증가하였고, 세 곳의 선량계 부착위치 중 생식선에서 가장 많은 피폭선량이 측정되었고 흉부, 갑상선 순이었다. 그러나 실제 시술 중 피폭선량을 줄이기 위해 거리를 무한정 늘릴 수 없고, 조사시간을 무한정 단축시킬 수 없기 때문에 인위적으로 조절 가능한 차폐 두께를 달리하는 방법으로 시술자의 피폭선량을 감소시킬 수 있었다. C-arm장비를 사용할 경우 시술 중 불편하다는 이유로 방사선 차폐에 소홀히 하고 근접시술이 이루어지기 때문에 피폭량은 증가할 수밖에 없다. 이에 C-Arm장비의 특성상 조정실을 구비할 수 없으므로 Apron 등의 방사선 차폐도구의 적정두께 사용 등으로 시술 중 발생되는 방사선에 의한 시술자의 피폭선량을 경감시켜야 할 것으로 사료된다.

In this study, C-Arm equipment is being used as we intend to verify the exposure dose on the operator by the scattering rays during the operation of the C-Arm equipment and to provide an effective method of reducing the exposure dose. Exposure dose is less than the Over Tube method utilizes the C-arm equipment Under Tube the scheme, The result showed that the exposure dose on the operator decreased with a thicker shield, and as the operator moved away from the center line. Moreover, as the research time prolongated, the exposure dose increased, and among the three affixed location of the dosimeter, the most exposure dose was measured at gonadal, then followed by chest and thyroid. However, in consideration of the relationship between the operator and the patient, the distance cannot be increased infinitely and the research time cannot be decreased infinitely in order to reduce the exposure dose. Therefore, by changing the thickness of the radiation shield, the exposure dose on the operator was able to be reduced. If you are using a C-Arm equipment discomfort during surgery because the grounds that the procedure is neglected and close to the dose of radiation shielding made can only increase. Because a separate control room cannot be used for the C-Arm equipment due to its characteristic, the exposure dose on the operator needs to be reduced by reinforcing the shield through an appropriate thickness of radiation shield devices, such as apron, etc. during a treatment.

키워드

참고문헌

  1. http://kosis.kr/statHtml/statHtml.do?orgId=354&tblId=DT_HIRA48&conn_path=I3, Korean Statistical Information Service Accessed, June. 24. 2016
  2. http://kosis.kr/statHtml/statHtml.do?orgId=350& tblId=DT_35004_A08&conn_path=I3, Korean Statistical Information Service Accessed, June. 24. 2016
  3. Jea Hun Kim: The radiation exposure of radi ographer related to the location in C-arm fluoroscopy-guided pain interventions. Journa l of the Korean Pain Society., 27(2), 162-167, 2014 https://doi.org/10.3344/kjp.2014.27.2.162
  4. Mi Eun Jeon: Study on radiation exposure dose during interventional radiology procedure. Hanseo University., 2007
  5. http://www.law.go.kr/lsBylSc.do?menuId=12&query, Korea Ministry of Government Legislation Accessed, September. 18. 2016
  6. Seo Young Bae, Jong Oh Kim, Jea Doo Yu, Sung Yong Yoon, Jin Won Jeong: Radiation exposure from fluoroscopy during orthopaedic surgical procedures. Journal of The Korean Fracture Society., 14(4), 792-798, 2001 https://doi.org/10.12671/jksf.2001.14.4.792
  7. Chang Gyu Kim: Spatial dose distribution and exposure dose during lumbar lateral test. Journal of the Korean Convergency Society., 5(1), 17-22, 2014
  8. Jin Soo Kim, Bong Cheol Woo, Sung Jin Kim , Kwan Seob Lee, Dong Yoon Ha: A comparision of the radiation dose by distance and the direction according to a tube position of the C-arm unit. Journal of the Korean Society for Digital Imaging in Medicine., 11(1), 21-26, 2009
  9. http://www.law.go.kr/lsBylSc.do?menuId=12&query, Korea Ministry of Government Legislation Accessed, September. 18. 2016