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A Study on the Distribution of Scatter Ray in Chest Radiography of a Health Examination Bus

건강검진 차량 내 흉부 방사선검사 시 공간산란선 분포 연구

  • Cho, Ji-Hwan (Department of Health Care Clinic, Inje University Busan Paik Hospital) ;
  • Jin, Seong-jin (Gammaknife center, Inje University Haeundae Paik Hospital) ;
  • Min, Byeong-In (Department of Nuclear Applied Engineering, Inje University)
  • 조지환 (인제대학교 부산백병원) ;
  • 진성진 (인제대학교 해운대백병원) ;
  • 민병인 (인제대학교 원자력응용공학부)
  • Received : 2017.09.09
  • Accepted : 2017.09.24
  • Published : 2017.09.30

Abstract

The purpose of this study was to evaluate the distribution of spatial scatter ray on the chest radiographs of patients on health examination bus. In this paper, we propose a method for minimize unnecessary exposure by measuring the scattered dose after exposure the actual subject and comparing the body mass index (BMI) with the tube current amount mAs. The results of this study showed that the mean BMI of the subjects was $23.31{\pm}3.12$. The mean mAs value was $2.92{\pm}1.19$, which males was higher than females. The mean value of the scatter ray at position 1 in the radiography room was $771.81{\pm}151.15{\mu}Sv/hr$. The mean value of the scatter rays at the position 2 outside the entrance of the radiography room was measured as $53.86{\pm}25.66{\mu}Sv/hr$. As the BMI and mAs was increase the spatial scatter dose was increased at position 1 and position 2 in the photographing room. In order to minimize the exposure dose of scatter ray, radiation workers should shoot the radiation as low as possible within the range that does not impair the quality of the image. It will be necessary to make efforts to not wait for a waiting person near the entrance door of the photographing room.

건강검진의 증가와 함께 검진 차량을 이용한 건강검진의 수효 또한 증가하는 추세로, 검진 차량에서의 흉부 방사선검사 시 피폭선량에 대해서도 간과할 수 없다. 실제 피사체가 있을 때 피사체의 체질량지수(BMI), 관전류량(mAs)과의 비교를 통해 산란선 발생량을 측정하여 불필요한 피폭을 최소화할 수 있는 방법을 찾고자 한다. 본 연구의 결과 대상자 BMI 전체 평균은 $23.31{\pm}3.12$으로 남자가 여자보다 BMI 값이 높게 나타났다. 전체 평균 mAs값은 $2.92{\pm}1.19$으로 남자가 여자에 비하여 높게 나타났다. 검사실 내부 위치 1의 산란선 전체 평균값은 $771.81{\pm}151.15{\mu}Sv/hr$로 나타났다. 검사실 출입문 외부 위치 2의 산란선 전체 평균값은 $53.86{\pm}25.66{\mu}Sv/hr$로 측정되었다. 이에 BMI나 mAs가 증가할수록 검사실 내부 위치 1과 외부 위치 2에서의 공간산란선량은 증가하는 것으로 나타났다. 건강검진 차량에서의 피폭선량은 거리역자승법칙을 적용하기에 매우 좁은 공간으로 공간산란선의 피폭을 최대한 줄이기 위해 방사선 관계종사자는 영상의 품질을 저해하지 않는 범위 내에서 가능한 낮은 조사조건으로 검사하고, 검사실 출입문 근처에 검사자가 대기하지 않도록 하는 노력이 필요할 것으로 생각된다.

Keywords

References

  1. Veldkamp, W. J., Kroft, L. J., & Geleijns J., "Dose and perceived image quality in chest radiography", European Journal of Radiology, Vol. 72, No. 2, pp. 209-217, 2009. https://doi.org/10.1016/j.ejrad.2009.05.039
  2. Joo, Y. C., Lim, C. H., You, I. G., et. al., "Adequacy of Source to Image Receptor Distance with Chest Postero-Anterior Projection in Digital Radiology System", Journal of Radiological Science and Technology, Vol. 39, No. 2, pp. 35-142, 2016. https://doi.org/10.17946/JRST.2016.39.1.05
  3. Na, D. J., Kim, T. J., Kim, N. Y., "A Study on the Operation of the General Health Examination Centers of Hospital", Annuual Bulletin of Institute of Hospital Management, Vol. 4, No. 2, pp. 97-117, 1999.
  4. Kim, J. M., Kim, S. C., "The thickness of Cu Filter to reduce 1/2 of the patient dose", Journal of Radiologocal Science and Technology, Vol. 24, No. 1, pp. 17-22, 2001.
  5. Teeuwisse, W., Geleijns, J., & Veldkamp, W. J., "An inter-hospital comparison of patient dose based on clinical indications, European Radiology, Vol. 17, No. 7, pp. 1795-1805, 2007.
  6. McAdams, H. P., Samei E, Dobbins J., et al., "Recent advances in chest radiography, Radiology, Vol. 241, No. 3, pp. 663-683, 2006. https://doi.org/10.1148/radiol.2413051535
  7. Daffner R. H., Clinical radiology: The Essentials Second, Lippincott Williams & Wilkins, 1999.
  8. Brenner, D. J., & Hall, E, J., "Risk of cancer from diagnostic X-rays", estimates for the UK and 14 other countries. Lancet Vol. 363, No. 9427, pp. 2192, 2004. https://doi.org/10.1016/S0140-6736(04)16519-7
  9. Park, B. R., & Sung, D, W., "A Comparative Study of Image Quality and Radiation Dose with Changes in Tube Voltage and Current for a Digital Chest Radiography", J Korean Soc Radiol, Vol. 62, No, 2, pp. 131-137, 2010. https://doi.org/10.3348/jksr.2010.62.2.131
  10. Regulla, D. F., & Eder, H. R., "Patient Exposure in Medical X-ray Imaging in Europe", Radiation Protection Dosimetry, Vol. 114, No. 1, pp. 11-25, 2005. https://doi.org/10.1093/rpd/nch538
  11. Ko, S. K., Kang B. S., & Lim, C. H., "Shielding Effect of Radiation Protector for Interventional Procedure", Journal of Radiologocal Science and Technology, Vol. 30, No. 3, pp. 213-218, 2007.
  12. Oh, H. J., Kim, S. S., Kim, Y. L., et. al., "A Study on the Variation of Spatial Scattering Dose in the X-ray Room", Journal of Radiologocal Science and Technology, Vol. 17, No. 2, pp. 21-27, 1994.
  13. Yi, C. J., Ha, S. W., & Jung, H. W. "Chromosome Aberration inPeripheral Lymphocyte of Radiation Workers in Hospital", Journal of the Korean Association for Radiation Protection Vol. 22, No, 4, pp. 227-235, 1997.
  14. Stern, S. H., Tucker, S. A., Gagne, R. M., et al., "Estimated Benefits of Proposed Amendments to the FDA Radiation-Safety Standard for Diagnostic X-Ray Equipment", FDA Science Forum, 2001.
  15. Sung, D. W., "Research on Actual Condition and Efficient Estimation of Thoracic Radiological Equipment", Ministry of Food and Drug Safety, 2004.
  16. Cho, P. K., "Distribution of the Scatter Ray on Chest X-ray Examinations", Journal of the Korea Contents Association, Vol. 12, No. 7, pp. 255-260, 2012. https://doi.org/10.5392/JKCA.2012.12.07.255
  17. Han, B. H., Han, S. H., Mo, E. H., et al., "Measurement from Moving Vehicle Health Screening Outside of The Leakage Dose", Vol. 15, No. 3, pp. 192-198, 2015. https://doi.org/10.5392/JKCA.2015.15.03.192
  18. Kim, S. K., & Son, S. H., "The Measurement and Analysis by Free Space Scatter Dose Distribution of Diagnostic Radiology Mobile Examination Area", Vol. 11, No. 1, pp. 5-13, 2009.