대한방사선기술학회지:방사선기술과학 (Journal of radiological science and technology)

  • 제45권4호
  • /
  • Pages.299-304
  • /
  • 2022
  • /
  • 2288-3509(pISSN)
  • /
  • 2384-1168(eISSN)
대한방사선과학회 (Korean Society of Radiological Science)
권호 표지
DOI QR코드

DOI QR Code

S-align 기능을 이용한 흉부 전·후 방향 검사 시 적절한 X선관 각도에 관한 연구

The Study of Appropriate X-ray Tube Angle for the Anterior-posterior Chest Radiography Using S-align Function

  • 박명주 (삼성서울병원 영상의학과) ;
  • 주영철 (삼성서울병원 영상의학과) ;
  • 김민석 (삼성서울병원 영상의학과) ;
  • 육정원 (삼성서울병원 영상의학과) ;
  • 김한용 (삼성서울병원 영상의학과) ;
  • 김동환 (삼성서울병원 영상의학과)
  • 투고 : 2022.07.26
  • 심사 : 2022.08.13
  • 발행 : 2022.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

This study uses the 'S-align' function to present a reference value of the X-ray tube angle for the realization of an image similar to that of the chest PA image during chest AP radiography. This study targeted dummy phantom and used a 17"×17" DR image receptor. The irradiation conditions were 110 kVp, 160 mA, 50 ms, and the distance between the central X-ray and the image receptor was set to 180 cm and 110 cm, respectively. The end of the catheter was placed at the 11th thoracic height to indicate the nasogastric tube. In the case of lung apex length measurement, the mean value of measurement was 30.53±0.47 in PA. T 0°, TCA 5~25°, TCE 5~15° were 21.07±0.29, 27.60±0.21, 34.13±0.44, 39.86±0.31, 45.96±0.61 mm, 54.13±0.37 mm, 16.16±0.46 mm, 9.81±0.35 mm, 2.75±0.30 mm, respectively. For the depth of the catheter end, the average value measured at PA was 6.70±0.31 mm. T 0°, TCA 5~25°, TCE 5~15° were 15.72±0.38 mm, 24.10±0.50 mm, 29.24±0.86 mm, 34.35±0.35 mm, 41.06±1.08 mm, 48.07±0.38 mm, 12.85±0.25 mm, 7.92±0.36 mm, 3.01±0.39 mm, respectively. The length of the lung apex was similar to that of chest PA when the angle of incidence was adjusted from 5° to 10° in the leg direction, and the depth of the catheter tip was most similar when the X-ray tube angle was incident at 10° in the head direction. Therefore, To change the X-ray tube angle according to the purpose of the examination during the chest AP radiography using 'S-align' function is considered necessary.

키워드

참고문헌

  1. Momoshima S. Imaging Medicine (Diagnosis), Korea, Commission for the Compilation of Radiomedical Diagnosis. Book Publishing Medicine Education; 2018.
  2. KDCA. Assessment of Radiation Exposure of Korean Population by medical radiation. 2021.03.02.
  3. CKPub. TEXTBOOK of Radiographic positioning and Clinical Diagnosis. 3rd ed. vol. 2. Medical Imaging Technology Research Association; 2008.
  4. Joo YC, Lim CH, Lim WT, Kim HJ, Lee SH. Consideration of Patient Position on Posteroanterior Chest Projection. The Korea Contents Association 2015 A Collection of Papers from the Spring Conference. 2015:161-2.
  5. Joo YC. Analysis of Normal Range of Heart Size and Cardiothoracic Ratio [dissertation]. Chungcheongnam-do, Korea: The Graduate School of Hanseo University; 2016.
  6. Joo YC, Lim C, Kim YM, Jung HR, Hong DH. 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. Journal of Radiological Science and Technology. 2017;40(2):179-86. https://doi.org/10.17946/JRST.2017.40.2.01
  7. Bae JI. Insertion and Management of Central Venous Catheters. Hanyang Medical Review. 2011;31(1).
  8. Kim JS, Kim SH, Lee NW, Kwon WC, Choi H, Beon JW, et al. A Case of Pleural Effusion after Malposition of Central Venous Catheter. Tuberculosis and Respiratory Diseases. 2006;60(6).
  9. Seo EH, Kim SR, Kim YJ. Statistical significance of complication according to the Central Venous Catheter Tip position. Journal of Korean Society of Cardio-Vascular Interventional Technology. 2010;13(1):133-43.
  10. https://www.kmcric.com/community/free/view_free/42042ep=cGFnZT01JnN3PSZzYz0mc19kYXRlPSZlX2RhdGU9JmJvdW5kX2RyYWZ0PSZib3VuZF9tZW1iZXI9. KMCRIC. 2020.03.26.
  11. Lee JS, Park HH. The Image Distortion Analysis of Levin-tube tip by Patient position and Incidence Angle when taking Mobile Chest AP Projection. Journal of the Korean Society of Radiology. 2015;9(7):467-71. https://doi.org/10.7742/JKSR.2015.9.7.467
  12. Choi GR. Utility Comparison of Chest Lateral Decubitus Projection with AP and PA Position. Journal of the Korean Society of Radiology. 2013;7(3):223-38.
  13. Joo YC, Lim CH, You IG, Jung HR, Lee SH. Adequacy of Source to Image Receptor Distance with Chest Postero-Anterior Projection in Digital Radiology System. Journal of Radiological Science and Technology. 2016;39(2):135-42. https://doi.org/10.17946/JRST.2016.39.2.01
  14. Park YJ, Joo YC, Lee IS. Radiological Measurements of Lung Field Size in Normal Korean using Digital Chest Posteroanterior Radiography. Journal of Radiological Science and Technology. 2018;41(1):1-6. https://doi.org/10.17946/JRST.2018.41.1.1
  15. Park JK, Jung BJ, Park HH, Noh SC, Kang SS. The Study for Optimal Exposure Condition of Chest Examination of Digital Radiography System. The Korean Society of Radiology Thesis Paper. 2016;10(2):109-15.
  16. Lee IJ, Kim YH, Kim CN, Lee CY, Park KY. Evaluation of Image According to Exposure Conditions using Contrast-Detail Phantom for Chest Digital Radiography. Journal of Radiological Science and Technology. 2009;32(1):25-32.
  17. Kim MS, Joo YC, Lee SK. A Study on the Usefulness of the New Foot Oblique Projection. Journal of Radiological Science and Technology. 2021;44(5):443-9. https://doi.org/10.17946/JRST.2021.44.5.443
  18. Choi JH. Analog Radiographic imaging, Korea. Shinkwangpub; 2013.