Korean Journal of Radiology

  • 제22권4호
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  • Pages.634-651
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  • 2021
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  • 1229-6929(pISSN)
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  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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Dynamic Chest X-Ray Using a Flat-Panel Detector System: Technique and Applications

  • Akinori Hata (Center for Pulmonary Functional Imaging, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School) ;
  • Yoshitake Yamada (Department of Diagnostic Radiology, Keio University School of Medicine) ;
  • Rie Tanaka (Department of Radiological Technology, School of Health Sciences, College of Medical, Pharmaceutical and Health Sciences, Kanazawa University) ;
  • Mizuki Nishino (Center for Pulmonary Functional Imaging, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School) ;
  • Tomoyuki Hida (Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University) ;
  • Takuya Hino (Center for Pulmonary Functional Imaging, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School) ;
  • Masako Ueyama (Department of Health Care, Fukujuji Hospital, Japan Anti-Tuberculosis Association) ;
  • Masahiro Yanagawa (Department of Diagnostic and Interventional Radiology, Osaka University Graduate School of Medicine) ;
  • Takeshi Kamitani (Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University) ;
  • Atsuko Kurosaki (Department of Diagnostic Radiology, Fukujuji Hospital, Japan Anti-Tuberculosis Association) ;
  • Shigeru Sanada (Clinical Engineering, Komatsu University) ;
  • Masahiro Jinzaki (Department of Diagnostic Radiology, Keio University School of Medicine) ;
  • Kousei Ishigami (Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University) ;
  • Noriyuki Tomiyama (Department of Diagnostic and Interventional Radiology, Osaka University Graduate School of Medicine) ;
  • Hiroshi Honda (Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University) ;
  • Shoji Kudoh (Japan Anti-Tuberculosis Association) ;
  • Hiroto Hatabu (Center for Pulmonary Functional Imaging, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School)
  • 투고 : 2020.09.17
  • 심사 : 2020.10.26
  • 발행 : 2021.04.01
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초록

Dynamic X-ray (DXR) is a functional imaging technique that uses sequential images obtained by a flat-panel detector (FPD). This article aims to describe the mechanism of DXR and the analysis methods used as well as review the clinical evidence for its use. DXR analyzes dynamic changes on the basis of X-ray translucency and can be used for analysis of diaphragmatic kinetics, ventilation, and lung perfusion. It offers many advantages such as a high temporal resolution and flexibility in body positioning. Many clinical studies have reported the feasibility of DXR and its characteristic findings in pulmonary diseases. DXR may serve as an alternative to pulmonary function tests in patients requiring contact inhibition, including patients with suspected or confirmed coronavirus disease 2019 or other infectious diseases. Thus, DXR has a great potential to play an important role in the clinical setting. Further investigations are needed to utilize DXR more effectively and to establish it as a valuable diagnostic tool.

키워드

과제정보

The investigator, HH, is supported by R01CA203636 and U01CA209414 (NCI).

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