DOI QR코드

DOI QR Code

A Study on New Shielding Method for Minimizing Thyroid Oran Dose on Chest Radiography Used Automatic Exposure Control

자동노출조절장치를 이용한 흉부 방사선검사 시 갑상샘 장기선량 최소화를 위한 새로운 차폐 방법에 관한 연구

  • 주영철 (삼성서울병원 영상의학과) ;
  • 홍동희 (신한대학교 방사선학과) ;
  • 한범희 (방사선과학기술연구소 연구개발팀)
  • Received : 2020.10.19
  • Accepted : 2020.10.28
  • Published : 2020.10.31

Abstract

The purpose of this study is to investigate the effect of radiation shielding on the thyroid organ dose and image quality during Chest PA examination using automatic exposure control system. This study was conducted in the patient posture and examination conditions such as Chest PA using human model phantom. An experiment without shielding was set as a control group (non) and the cases of using paper coated with a contrast agent (contrast) and bismuth (bismuth) were used as experimental groups. Compared to non-shielded(non), the dose at bismuth increased about 7% in C(cervical vertebrae)5 and C6 and 14% in C7 and contrast showed dose increases of about 17 to 19% in C5 and C6 and about 21% in C7. As a result of the image quality comparison, when measured in the center of the cervical vertebrae, both SNR and CNR in bismuth increased about 40% higher than non, and contrast showed about 8 to 9% improvement. Compared with soft tissues of the cervix, bismuth reduced SNR by about 15% and CNR by about 13%, in contrast, SNR decreased by 11%, and CNR decreased by about 10%. In the Chest PA using AEC, the method of using the shield in front of the collimator has the advantage to observe the anatomical structure of the neck area well compared to the method using the lead. However, the dose at the neck can be increased by 7-21% depending on shielding materials.

Keywords

References

  1. Kim DH, Ko SJ, Kang SS, et al. Computer-aided diagnosis for pulmonary tuberclusis using texture features analysis in digital chest radiography. The Journal of the Korea Contents Association, 2011;11(11):187-93.
  2. Veldhamp WJH, Kroft LJM, Geleijns J. Dose and perceived image qualigy in chest radiography. Eropaean Journaral of Radiologry. 2009;72(2):209-17.
  3. Choi SS, Lim ChW, Jung SH. A study on the using of automatic exposure control in the chest radiography. Journal of Radiological Science and Technology. 2019;42(1):19-24. https://doi.org/10.17946/JRST.2019.42.1.19
  4. Joo YC, Kim GH. Comparison of cardiac size and cardiac thoracic ratio in pregnant and non-pregnant women of normal Korean women using chest X-ray. Journal of Radiological Science and Technology. 2018;41(3):223-9. https://doi.org/10.17946/JRST.2018.41.3.223
  5. Park JH, Lim HJ, Cho HC, et al. Analysis of 1968 cases of preoperative laboratory screening test results. Korean Journal of Anesthesilolgy. 1999;36:923-8. https://doi.org/10.4097/kjae.1999.36.6.923
  6. Kim CS. Thyroid cancer and radiation. International Journal of Thyroidology. 2015;8(1):1-7.
  7. Sung DW. Radiation exposure in diagnostic areas: issues and countermeasures. J Korean Med Assoc. 2011;54(12):1246-7. https://doi.org/10.5124/jkma.2011.54.12.1246
  8. Chung MJ, Lee KW, Lee BY, Kim HJ, Lim HK. Diagnostic reference level of patient dose during a plain chest radiography examination in Korea. J Korean Soc Radiol. 2010;62:523-8. https://doi.org/10.3348/jksr.2010.62.6.523
  9. Lee JH, Lim HS, Lee SY. The evaluation and development of head and neck radiation protective device for chest radiography in 10 years children. Journal of Radiation Protection and Research. 2015;40(2):118-23. https://doi.org/10.14407/jrp.2015.40.2.118
  10. Vahid K, Mansour Z, Mehradad G, Nasin Sh, Zahra FN. Dose reduction to the thyroid gland in pediatric chest raiography. International Journal of Pediatrics. 2016;4(7):2183-91.