• Title/Summary/Keyword: 두부촬영

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Assessment of the Eye Lens Dose Reduction by Bismuth Shields in Rando Phantom Undergoing CT of the Head (Head CT 검사 시 안구 차폐용 Bismuth사용에 의한 수정체 선량 감소에 대한 평가)

  • Cho, Pyong-Kon;Kim, You-Hyun;Choi, In-Ja;Chang, Sang-Gyu;Chung, Jung-Pyo;Lee, Hyun;Kim, Jang-Seob;Shin, Dong-Cheol;Choi, Jong-Hak;Lee, Ki-Sung;Lee, Won-Ho
    • Journal of radiological science and technology
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    • v.31 no.2
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    • pp.171-175
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    • 2008
  • The aim of this study is to assess the dose reduction of eye lens and availability of bismuth garments resulting from the use of radioprotective bismuth garments to shield the eyes of patients undergoing head CT. Rando phantom and TLDs were used to determine the amount of dose reduction by bismuth shielding of the eye in the following simulated CT scans : (a) scanning of the head including orbits, (b) scanning of the whole head, and (c) $20^{\circ}$ angled scanning of the head excluding orbits. The average dose reduction of eye lens was 43.2%, 36.0% and 1.4% for the three CT scans listed above. Significant reduction in the eye lens dose was achieved by using superficial orbital bismuth shielding during head CT scans. However, bismuth shields should not be used for the patients when their eyes are excluded from the primarily exposed region.

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A comparative study of guiding methods for natural head posture in cephalometrics (두부방사선규격사진 촬영 시 유도방법에 따른 자연두부자세의 차이 및 재현성에 관한 연구)

  • Song, Jin-Myoung;Lee, Ki-Heon;Hwang, Hyeon-Shik
    • The korean journal of orthodontics
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    • v.35 no.5 s.112
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    • pp.341-350
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    • 2005
  • The Purpose of this study was to compare the degree of vortical head rotation and to evaluate the reproducibility of natural Head posture (NHP) according to two guiding methods, the head posture aligner (HPA) method and the solf balance posture (SBP) method. The subjects consisted of 30 adults. On the first day. lateral and frontal cephalometric radiographs were obtained through the two guiding methods. One mouth later. lateral and frontal cephalometric radiographs were obtained again through both guiding methods. The degrees of vertical head rotation of both guiding methods were compared and the reproducibility was evaluated for each guiding method. A comparison of the degrees of vortical head rotation for the two methods revealed that the vertical head posture was lower in the SBP method than in the HPA method by an average of $2.79^{\circ}$. All measurements obtained using the HPA and SBP methods with a time interval of one north did not show any significant difierence in lateral and frortal cephalometric radiographs. The results of the present study suggest that the SBP method may be used as an alternative to the HPA method in case the HPA method can not be applied.

The Validity of Head Posture Aligner in Posteroanterior Cephalometry (정모 두부 방사선 사진 촬영시 Head Posture Aligner의 유용성에 관한 연구)

  • Kim, Eun-Hee;Hwang, Hyeon-Shik
    • The korean journal of orthodontics
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    • v.30 no.5 s.82
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    • pp.543-552
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    • 2000
  • The purposes of this study were to evaluate the reproducibility of posteroanterior(PA) cephalograms obtained by two methods, the Head Posture Aligner(HPA) method in natural head posture and the conventional method(operator-guided method), and to compare the vertical rotational differences of the head Posture between lateral and PA cephalograms according to the method. The sample was consisted of 30 adults. At first day, a PA cephalogram and a lateral cephalogram were obtained from each subject by two methods to investigate the difference of vertical rotational posture between lateral and PA cephalograms. Two weeks later, another PA cephalogram was obtained using each method to evaluate the reproducibility of head posture. Five height measurements and nine width measurements were used in the paired t-test to compare the reproducibility of the PA cephalometric measurements between two methods. The differences of vertical rotational posture between lateral and PA cephalograms were calculated from a computer program and compared according to the method used, and following results were obtained. 1. Height measurements obtained by operator-guided method showed significant differences according to the time interval and revealed low reproducibility. 2. Height measurements obtained by HPA method did not show significant differences according to the time interval and presented high reproducibility. 3. In the comparison of width measurement, two methods did not show distinct differences in reproducibility. 4. The difference of vertical rotational posture between lateral and PA cephalograms showed $0.8^{\circ}$ in the HPA method, more less than $2.5^{\circ}$ in the operator-guided method. The results of the present study suggest that the HPA may be helpful in the PA cephalometric radiography in terms of reproducibility.

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Optimization of Exposure Parameters in Brain Computed Tomography (두부 전산화단층촬영에서 노출 파라미터의 최적화)

  • Ko, Seong-Jin;Kang, Se-Sik
    • Journal of radiological science and technology
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    • v.33 no.4
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    • pp.355-362
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    • 2010
  • This study determines a range of CT parameter values in Brain CT which are minimizing patient absorption dose without compromising the image quality and optimal exposure condition. We measured dose and image noise using conventional CT parameters in Brain CT. In additon, we evaluated dose, SNR and PSNR of head phantom images while changing kVp and rotation time. In this study, effectiveness of dose that was achieved from dose reproducible experiments in conventional head CT condition is determined by changing kVp and rotation time. Dose and PSNR is related to low dose-high resolution condition. In conclusion, we suggest that using proposed conditions is effective for imaging to compare with conditions proposed by the manufacturer.

Neuroimaging of Traumatic Brain Injury (외상성 뇌손상의 영상진단)

  • Choi, Woo Suk
    • Korean Journal of Biological Psychiatry
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    • v.2 no.2
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    • pp.169-176
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    • 1995
  • 두부 외상은 많은 발생율과 사망율을 차지하고 있으며, 건강한 생활을 위해 큰 관심을 갖게 되었다. 신경방사선영상은 외상성 뇌손상 환자들의 진단과 치료에 필수적인 방법이다. 뇌손상의 기본 기전, 병리, 그리고 영상 소견을 이해 하는 것은 매우 중요하다. 1970년대에 Glasgow coma scale의 형상과 전산화단층촬영(CT)의 발달은 임상의사들이 두부외상에 대한 평가와 환자들의 경과를 예상하는데 극적인 변화를 주었다. 최근 자기공명영상(MRI)의 발달로 외상성 뇌손상의 형태를 더욱 이해 하게 되었고, 두부 외상의 발견율이 높아지게 되었다.

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Radiation Exposure Evaluation of Visual Organs using Bismuth Shielding Material on Head CT Scan (두부 CT촬영 시 비스무스 차폐체를 활용한 시각 기관의 방사선피폭평가)

  • Kang, Se-Sik;Kim, Changsoo;Kim, Jung-Hoon
    • The Journal of the Korea Contents Association
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    • v.16 no.7
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    • pp.451-456
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    • 2016
  • To analyse the absorbed radiation dose of the visual organs (eyes, corneas, lenses) during a head CT scan, a with the purpose of radiation protection was designed. Afterwards, the reduction rate of radiation dose when using an eye-shielding was analyzed. The results showed that the higher the energy, the higher the absorbed dose of the eyes. Excluding the head, the organs with high dose were the eyes, corneas, and lenses, respectively. Furthermore, the dose reduction rate before and after shielding was between 38% and 55% for the eyes, and between 35% and 52% for the corneas. In the case of the lenses, when the front was shielded, the reduction rate was 51%, and when the front and the side were shielded simultaneously, the reduction rate was 67%.

Digital imaging of film-based cephalograms using a digital camera (디지털 카메라를 이용한 필름 두부방사선사진의 디지털 이미지 전환)

  • Wang, Sung-Jin;Kim, Kyung-Ho;Choy, Kwang-Chul
    • The korean journal of orthodontics
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    • v.34 no.5 s.106
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    • pp.448-457
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    • 2004
  • As computer Programs for cephalometric analysis were developed in diagnosis & treatment planning, digital imaging of film-based cephalograms came to be needed. When a digital camera is used, a problem encountered the image distortion produced according to the focal length, which causes errors in indentifying landmarks. In addition, changes in the image size and compression ratio will inevitably produce a low quality image, causing errors in identifying landmarks. Hence. we have found the focal length producing the least image distortion when digital imaging the film-based cephalograms and the minimal digital camera setting which helps to identify the correct landmarks using the COOLPIX4500 digital camera (Nikon, Japan). The results were as follows The image distortion was minimized at a focal length of 16.4mm (79.4mm when converted into a 35mm film camera) when digital imaging the film-based cephalograms. When wide imaging, with a focal length of under IS.4mm, barrel distortion was found and when tole imaging. with a focal length of over 15.4mm pincushion distortion was found. The minimal digital camera setting was $2272{\times}1704$ pixel at normal (1/8) compression from which we can identify the correct landmarks at the same level as tracing the film-based cephalograms manually. As a result. when digital imaging the film-based cephalograms, using a COOLPIX4500 digital camera (Nikon, Japan), the focal length should be 16.4mm the pixel image size over $2272{\times}1704$, and the compression ratio over normal (1/8).

The reliability of the cephalogram generated from cone-beam CT (Cone-beam CT로부터 제작된 측모 두부계측방사선사진의 정확도 평가)

  • Kang, Ji-Young;Kim, Kwang-Won;Lim, Sung-Hoon
    • The korean journal of orthodontics
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    • v.37 no.6
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    • pp.391-399
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    • 2007
  • Three-dimensional approaches for the diagnosis and analysis of the dentofacial area are becoming more popular in accordance with the development of cone-beam CT (CBCT). The purposes of this study were to evaluate the reliability of cephalometric measurements of lateral cephalograms generated from a CBCT image by making comparisons with the traditional digital lateral cephalogram, and to evaluate the possibility of the clinical application of CBCT generated cephalogram images. Methods: Twenty patients whose external auditory meatus could be identified in the CBCT image were selected, and both CBCT and digital cephalograms were taken. Differences between the measurements of both cephalograms were tested by paired t-test. Results: Among the 22 measurements used, only U1-FH, Mx6 to PTV, and maxillomandibular difference showed statistically significant differences between the CBCT generated cephalogram and the digital cephalogram. Conclusions: The results suggest that the CBCT generated cephalogram can be used for some cephalometric measurements not requiring porion, PTV, condylion as a landmark (SNA, SNB, U1 to SN, IMPA, interincisal angle, etc.).

Correction of positional change of frontal cephalometric landmarks caused by vertical head rotation (두부의 수직회전 시 정모두부방사선사진상의 계측점 변화와 이의 보정)

  • Kim, Mi-Young;Lee, Kyung-Min;Cho, Jin-Hyoung;Hwang, Hyeon-Shik
    • The korean journal of orthodontics
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    • v.41 no.2
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    • pp.98-111
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    • 2011
  • Objective: Superimposition of frontal cephalograms cannot be performed when the cephalograms are taken with different vertical head rotations. The purpose of the present study was to evaluate the validity of correcting the positional change of frontal cephalometric landmarks caused by vertical head rotation. Methods: In 30 adult individuals, frontal and lateral cephalograms were taken at a $90^{\circ}$ angle. Geometric principles of radiography were used to calculate the possible vertical and horizontal landmark changes if the head should be rotated down $5^{\circ}$ about an ear rod axis. The calculated changes were then compared with cephalometric changes measured on frontal cephalogram actually taken with the head rotated down $5^{\circ}$. Results: When the frontal cephalograms were taken with the head rotated down $5^{\circ}$ about an ear rod axis, significant changes in the vertical position of the landmarks occurred, particularly in the landmarks located farther anteriorly from the ear rod axis. The comparison of calculated changes and real cephalometric changes showed that the differences were less than 0.4 mm in the vertical direction and less than 0.2 mm in the horizontal direction. The differences between calculated and real changes were smaller in the landmarks less affected by vertical head rotation. Conclusions: Even when frontal cephalograms are taken at different vertical head rotations, the concomitant changes in the position of the landmarks can be corrected through calculation using the geometric principle of radiography as long as frontal and lateral cephalograms are taken perpendicular to each other.

Evaluation of Dose and Image Quality of Lens according to Baseline during Brain CT Scan (두부 전산화단층촬영 시 기준선에 따른 수정체 선량과 화질 평가)

  • Kim, Kyu-Hyung;Kim, Sang-Hyun
    • Journal of the Korean Society of Radiology
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    • v.13 no.5
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    • pp.699-704
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    • 2019
  • It is important to minimize the exposure dose during an examination and obtain good quality images at the same time. This study compared the beam harding effect according to the baseline superior orbito meatal line(SOML), orbito meatal line(OML), inferior orbito metal line(OML) and measured the exposure dose of the lens, especially in brain CT examinations, which generally apply to head diease patients. The beam harding effect assessment of each image along the baseline was performed quantitatively using the Image J program, and the exposure dose of the lens was detected by OSLDs and compared. As a result, As a result, when the SOML was used as the reference line, the dose of the lens was decreased by 85.08% at 80 kV and by 79.7% at 80 kV, compared to when IOML was used as the baseline. If the gantry angle at brain CT was parallel scan to SOML, there were no significant differences in the exposure to the lens and between the OML and IOML. Therefore, this study has shown that it is efficient to have a parallel scan on SOML as a protocol during Brain CT examinations.