Journal of radiological science and technology (대한방사선기술학회지:방사선기술과학)

Korean Society of Radiological Science (대한방사선과학회)
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Assessment of Dose and Image Quality according to the Change of Distance from Source to Image Receptor and the Examination Posture during the Skull Lateral Radiography

두부 측 방향 방사선검사 시 선원 영상수용체간 거리와 검사 자세 변화가 선량과 영상품질에 미치는 영향

  • 김은혜 (삼성서울병원 영상의학과) ;
  • 주영철 (삼성서울병원 영상의학과) ;
  • 김한용 (삼성서울병원 영상의학과) ;
  • 김동환 (삼성서울병원 영상의학과)
  • Received : 2022.09.16
  • Accepted : 2022.12.05
  • Published : 2022.12.31
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Abstract

This study proposes a new skull lateral examination, and provides an improved examination environment for patients and radiologists. The study was divided into three groups. One group was divided into the SID (source to image receptor distance) 110 ㎝ and 180 ㎝ in the skull lateral posture, the other group The other group was divided into an position in contact with the detector and an position without contact with the detector, and the other group was divided into male and female groups, considering that the difference in shoulder width between adult males and females would affect the dose and image quality. For dose evaluation, the ESD (entrance surface dose) was measured at the EAM (external auditory meatus), and the conditions were applied equally at 70 ㎸p, 200 ㎃, and 10 ㎃s. For image quality evaluation, SNR (signal to noise ratio) and CNR (contrast to noise ratio) were measured in frontal sinus, EAM, and sella turcica. As a result of ESD comparison, when sid 110 ㎝ to sid 180 ㎝ was changed among the three groups, ESD values decreased the most to 729.18±4.62 μ㏉ and 224.18±0.74 μ㏉ at 180 ㎝ (p<0.01). The values of SNR and CNR were statistically significant (p<0.01), but there was no qualitative difference. This shows that when the SID is 180 ㎝, it is possible to reduce the dose without lowering the image quality. So, It is suggested that the SID 180 ㎝ is used without contacting the detector when examining the skull lateral.

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References

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