DOI QR코드

DOI QR Code

Effectiveness Evaluation of Scanogram Using Longbone Detector

Longbone 검출기를 이용한 Scanogram의 유효성 평가

  • Jang, Su-han (Department of Radiology, Sooncheonhyang University Hospital) ;
  • Heo, Ji-eun (Department of Radiology, Sooncheonhyang University Hospital)
  • 장수한 (순천향대학교 부천병원 영상의학과) ;
  • 허지은 (순천향대학교 부천병원 영상의학과)
  • Received : 2020.05.24
  • Accepted : 2020.06.25
  • Published : 2020.08.31

Abstract

Scanogram is that combine several practical images into one image to observation. So it is an important consideration in many clinical situation such as iliac measurement, leg alignment measurement and Scoliosis. Currently, scanogram examinations are mainly conducted for children and elderly patients. In this study, in order to apply the longbone detector to children or elderly patients who are difficult to cooperate with, we compared the longbone detector from D equipment with the G equipment discovery 656 Puls equipment in reproducibility of images, distribution of irradiation dose, scattering dose, irradiation time and image acquisition time. D equipment took more than twice as much time as G equipment. The scattered dose generated about 50% more G equipment than D equipment. In the whole spine scanogram and the measurement length of the lower leg, D equipment was also measured longer than G equipment. However, both methods did not show much difference from the CT scanogram, so there was no problem in measurement. The height of the thyroid radiation dose of G equipment was produced more radiation than D equipment. However, the longbone detector deviated from the x-ray center line relative to the tube rotation method, and was measured lower by the directionality of the measuring instrument, so that the error could not be corrected. In the conclusion of study, using the longbone detector is excellent for applying to children or elderly patients to reduce scattering dose. However, using CR may be useful to normal patients. Because, the image quality may deteriorate due to an imbalance of dose difference in thickness depending on the body part. So, it is useful to using a compensation filter or tube rotation method when we take a whole spine scanogram.

Keywords

References

  1. Simon W, Klaus W. Measurements and classifications in musculoskeletal radiology. Germany: Thieme Munich; 2014: 125.
  2. Giordano A, Fuso L, Galli M, Calcagni ML, Aulisa L, Pagliari G, et al. Evaluation of pulmonary ventilation and diaphragmatic movement in idiopathic scoliosis using radioaerosol ventilation scintigraphy. Nucl Med Commun. 1997;18(2):105-11. https://doi.org/10.1097/00006231-199702000-00003
  3. Jeong CH, Noh JH. Clinical and radiological analysis of angular deformity of lower extremities. J Korean Fract Soc. 2017;30(3):156-66. https://doi.org/10.12671/jkfs.2017.30.3.156
  4. Schwab F, Dubey A, Gamez L, et al. Adult scoliosis: Prevalence, SF-36, and nutritional parameters in an elderly volunteer population. Spine. 2005;30(9):1082-5. https://doi.org/10.1097/01.brs.0000160842.43482.cd
  5. Lafage V, Schwab F, Patel A, Hawkinson N, Farcy JP. Pelvic tilt and truncal inclination two key radiographic parameters in the setting of adults with spinal deformity. Spine. 2009;34(17):E599-E606. https://doi.org/10.1097/BRS.0b013e3181aad219
  6. Kim KH, Lee PH. Growth youth, spine health advisory. Health insurance review & assessment service [Internet]. 2016 [Cited 2016 December 22]. Available from: https: //www.hira.or.kr/bbsDummy. do?pgmid=HIRAA020041000100&brdScnBltNo=4&brdBltNo=9281
  7. Noshchenko A, Hoffecker L, Lindley EM, et al. Predictors of spine deformity progression in adolescent idiopathic scoliosis: A systematic review with meta-analysis. World J Orthop. 2015;6:537-558. https://doi.org/10.5312/wjo.v6.i7.537
  8. Kim HS, Park SM, Lee SY, Baek SM, Chae SY, Park JH, et al. Development of the diagnostic reference level of pediatric radiography (10 years old). Ministry of Food and Drug Safety; 2014.
  9. Khong PL, Ringertz H, Donoghue V, Frush D, Rehani M, Appelgate K, Sanchez R. Radiological protection in paediatric diagnostic and interventional radiology. ICRP Publication 121; 2016.
  10. Cho PK. Distribution of the scatter ray on chest x-ray examinations. The Journal of the Korea Contents Association. 2012;14(1):356-63. https://doi.org/10.5392/JKCA.2014.14.01.356
  11. Kim SH, Kim MH, Jung MH. The level of elderly fall prevention activities & perception of patient safety culture among university hospital nurses. J Korean Soc Living Environ Sys 2013;20(1):81-7.
  12. Suh CH, Kang HS, Jung JW, Yeon KM. A study of long bone measurement by CT scanogram: Comparison with spot scanogram. Journal of Korean Radiological Society. 1987;23(1):105-12. https://doi.org/10.3348/jkrs.1987.23.1.105
  13. Lee CS. Idiopathic scoliosis. Journal of Korean Spine Surg. 1999;6(2):288-96.
  14. Lee HS. Review of orthoroentgenography. Journal of Korean Radiological Technologists Association. 1998;24(2):91-4.
  15. Jung-Pyo Hong, Dong-Hyuk Jang, Kyung-Hwan Kim, Young-Ho Kwon. A Study on Lower Extremity Scanogram Comparison according to the Examination Method. Journal of The Korean Society of Radiologycal Imaging Technology 2016;13(1):13-19.
  16. Se-Hoon Park, Chang-Ryong Ji, Seok-Min Yun, Jae-Sik Im, Soon-Kyu Park. Evaluation of the distortion rate for different ways of taking radiographs of the long bone. Journal of The Korean Society of Radiologycal Imaging Technology 2016; 13(1):91-97.
  17. Choi TJ, Kim JH, Kim OB. Dose characteristics of total-skin electron-beam irradiation with six-dual electron fields. Radiation Oncology Journal. 1998;16(3):337-45.