To determine the utility of spiral computed tomography(CT) in the evaluation of carotid artery stenosis, spiral CT images of 10 patients were compared with both ones of conventional angiography and magnetic resonance(MR) angiography. The severeness of stenosis was determined for each Internal carotid artery on the basis of arterial narrowness : mild stenosis : 40 % or less, moderate stenosis = $40{\sim}70%$, severe stenosis = greater than 70 % of arterial narrowness. The short examination and clear depiction of the arterial lumen In areas of complex or low flow make CT angiography attractive alternative to MR angiography. Spiral CT angiography shows normal and abnormal carotid anatomy well when compared with conventional anglography.

Radiography should be used judiciously and should not delay patients resuscitation. In the patient with emergency multiple trauma, three radiography should be obtained-cervical spine, anteroposterior(AP) chest, and AP pelvis. These examinations can be done in the resuscitation area, usually with a portable X-ray unit, but should not interrupt the resuscitation process. A retrospective study was carried on 157 emergency multiple trauma patients who were admitted to Yong Dong Severance Hospital from January, to December in 1995. I analyzed the types of X-ray examinations in emergency multiple trauma patients, and classified the patients by disoriented group of mentality. The results were as follows: 1. The subjects were 7.1%(157patients) of 2,208 trauma patients(7.3%) in total 30,085 emergency patients. 2. Male to female ratio was 2.57 : 1. The age distribution was highest from 31 years to 40 years(28.0% ). 3. The peak time of patient's entrance in emergency center was between 8 : 00 pm and 2 : 00 am(36.9%), and second peak time was between 2 : 00 pm and 8 : 00 pm (29.3%). 4. According to the injury type, traffic accident, motorcycle accident and falling down were 71.3%, 8.3% and 20.4% respectively. 5. According to the exposure rate of Computed Tomography, chest CT, cervical CT pelvis CT and brain CT were 39.5%, 24.2%, 69.4% and 51.6% respectively.

We studied exposure techniques and exposure dose for simple abdomen A-P projection for 41 medical facilities that are located in Seoul area. 1. The range of tube voltage used was 60 to 84 kVp, the average tube voltage used was 74 kVp 2. Only 17% of added filter was used. 3. Tube current mostly used was 200 mA, some of them used 400 mA. 4. The grid ratio mostly was used 10 : 1, 54 % of the rare earth screen was used in most facilities. 5. The average skin entrance dose was 4.15 mSv and the dose range was 1.05 mSv to 11.0 mSv.

Studies were conducted to determine the clinical application of photodiode. We compared photodiode with ion-chamber as to change of tube potential, tube current, mAs and measured decreasing rate of penetration dose. When tube potential was changed from 60 kVp to 120 kVp, output of photodiode and ion-chamber were changed from 0.4 to 1.625, and 1.018 to 4.268, respectively. This was a good agreement to theory that $I=Kv^2it$(I is intensity, K is constant, v is tube potential, i is tube current, t is time). Characteristics for change of tube current and mAs were also a good agreement to theory. And comparison in decreasing rate of penetration dose was similar except above 6 cm in depth. Our results indicated that photodiode was a good instrument for relative measurement of radiation exposure, but we can not use the photodiode for absolute radiation dose.

The thermoluminescence(TL) response in changing annealing condition, triboluminescence, and darkroom temperature for $Mg_2SiO_4$:Tb phosphor are examined. The experimental results are summerized as follows : 1. The uniformity of TL intensity is better In the disinfected $Mg_2SiO_4$ : Tb than in contaminated one. 2. The triboluminescence of $Mg_2SiO_4$ : Tb is almost not detected even if numbers of $Mg_2SiO_4$ : Tb falling are increased. 3. The fading effect of $Mg_2SiO_4$ : Tb is scarcely affected by freezing room. The followings are resulted from the study. The disinfected $Mg_2SiO_4$ : Tb phosphor should be used in the dose measurement and the immediate reading for $Mg_2SiO_4$ : Tb after exposure is better. And if the reading is not immediately taken, a law darkroom temperature for $Mg_2SiO_4$ : Tb storage is recommended.