DOI QR코드

DOI QR Code

Optimal Height of Shielding Plate of Radiation in Posteroanterior Chest Radiography for Pregnant Women on Korea

한국인 임산부의 흉부 후-전 방향 방사선검사 시 적절한 차폐막 높이

  • 주영철 (삼성서울병원 영상의학과) ;
  • 김규형 (명지병원 영상의학과)
  • Received : 2018.03.29
  • Accepted : 2018.04.19
  • Published : 2018.04.30

Abstract

The purpose of this study is to provide the basic data for reducing unnecessary radiation dose to the abdomen and fetus of pregnant women by presenting proper height of shielding protector for efficient abdominal shielding in chest PA examination of Korean pregnant women. The subjects of this study were 288 persons who were eligible for this study among 798 pregnant women who had chest PA examination from January 1, 2015 to December 31, 2016 Retrospective study was performed. Measurements was performed from the apex of the right and left lungs to costophrenic angle of the right and left lungs and to the lowest costophrenic angle among the right and left lungs at the top of the image(this line called Joo's line in this study). The mean of the right and left lung height of pregnant women were 259.09 mm and 263.57 mm, respectively. Also, the average height of the Joo's line designed by the researcher for proper abdominal radiation protection was 322.15 mm. For proper and efficient abdominal radiation protection for pregnant women, it is necessary to adjust the shielding according to the height of the pregnant woman. It is appropriate that the height of the shielding protector should be adjusted so that the upper part of the shield is located at 342.30 mm below from upper part of the detector.

Keywords

References

  1. Park JH, Lim HJ, Cho HC, et al. Analysis of 1968 cases of preoperative laboratory screening test results. Korean journal of anesthesilolgy. 1999;36:923-28. https://doi.org/10.4097/kjae.1999.36.6.923
  2. Joo YC, Lim CH, Kim YM, et al. Rate of transformation and normal range about cardiac size and cardiothoracic ratio according to patient position and age at chest radiography of Korean adult man. Korean society of radiological science. 2017;40(2):1-8.
  3. Lee IJ, Kim CN, Lee CG, Park KY. Evaluation of image according to exposure conditions using contrast-detail phantion for chest digital radiography. Korean society of radiological science. 2009;32(1):25-32.
  4. Gil JW, Park JH, Park MH. Estimated exposure dose and usage of radiological examination of the national health screening. Journal of radiation protection. 2014;39(3):142-49. https://doi.org/10.14407/jrp.2014.39.3.142
  5. National Health Insurance, 2015 Major surgery Statistical Yearbook, 2015:25.
  6. Donnelly EH, Smith JM, Farfan EB, et al. Prenatal radiation exposure: background material for counseling pregnant patients following exposure to radiation. Disaster Med Public Health Prep., 2011;5(1):62-8. https://doi.org/10.1001/dmp.2011.2
  7. Kim KJ, Kim GJ. Adequacy assessment to abdomen shield of pregnant X-ray chest PA. J. Korea Saf. Manag. Sci., 2015;17(4):207-12 https://doi.org/10.12812/KSMS.2015.17.4.207
  8. International commission on radiological protection, 1999. ICRP publication 84 Pregnancy and medical radiation.
  9. Park JK. Gynecologic patient's recognition of radiation exposure in Gyeongbuk area. The journal of the Korea contents association., 2005;8(8):176-87 https://doi.org/10.5392/JKCA.2008.8.8.176
  10. Clemente Cramine D. Anatomy, A regional atlas of the human body. 3rd. Urban&Schwarzenber;1987:399.
  11. Kim WG. A study of the size of lung by radiographic method in normal Korean. Journal of Korean Society of radiological technology., 1978;1(1):69-73