• Title/Summary/Keyword: 디지털 X선 촬영장치

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Is a Camera-Type Portable X-Ray Device Clinically Feasible in Chest Imaging?: Image Quality Comparison with Chest Radiographs Taken with Traditional Mobile Digital X-Ray Devices (카메라형 휴대형 X선 장치는 흉부 촬영에서 임상적 사용이 가능한가?: 기존의 이동형 디지털 X선 장치로 촬영한 흉부 X선 사진과 영상품질 비교)

  • Sang-Ji Kim;Hwan Seok Yong;Eun-Young Kang;Zepa Yang;Jung-Youn Kim;Young-Hoon Yoon
    • Journal of the Korean Society of Radiology
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    • v.85 no.1
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    • pp.138-146
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    • 2024
  • Purpose To evaluate whether the image quality of chest radiographs obtained using a camera-type portable X-ray device is appropriate for clinical practice by comparing them with traditional mobile digital X-ray devices. Materials and Methods Eighty-six patients who visited our emergency department and underwent endotracheal intubation, central venous catheterization, or nasogastric tube insertion were included in the study. Two radiologists scored images captured with traditional mobile devices before insertion and those captured with camera-type devices after insertion. Identification of the inserted instruments was evaluated on a 5-point scale, and the overall image quality was evaluated on a total of 20 points scale. Results The identification score of the instruments was 4.67 ± 0.71. The overall image quality score was 19.70 ± 0.72 and 15.02 ± 3.31 (p < 0.001) for the mobile and camera-type devices, respectively. The scores of the camera-type device were significantly lower than those of the mobile device in terms of the detailed items of respiratory motion artifacts, trachea and bronchus, pulmonary vessels, posterior cardiac blood vessels, thoracic intervertebral disc space, subdiaphragmatic vessels, and diaphragm (p = 0.013 for the item of diaphragm, p < 0.001 for the other detailed items). Conclusion Although caution is required for general diagnostic purposes as image quality degrades, a camera-type device can be used to evaluate the inserted instruments in chest radiographs.

Construction and Performance Evaluation of Digital Radiographic System (이동형 디지털 X선 촬영장치의 구축 및 성능평가)

  • Cho, Hyo-Min;Nam, So-Ra;Lee, Chang-Lae;Jung, Ji-Young;Kim, Hee-Joung
    • Progress in Medical Physics
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    • v.18 no.3
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    • pp.144-148
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    • 2007
  • Current digital radiography systems are rapidly glowing in clinical applications. The purpose of this study was to evaluate the characteristics of a mobile digital radiographic system. The performance of the mobile DR system was evaluated by measuring the modulation transfer function (MTF), noise power spectrum (NPS), and detective quantum efficiency (DQE). Measurements were made on a LISTEM Mobix-1000 generator and a Teleoptic PRA Alpha-R4000 detector. Imaging characteristics were measured for these two systems using the IEC-61267 defined RQA5 (kVp: 74, additional filtration: 21 mmAl) radiographic condition. The MTF at 10% was measured as 2.4 cycles/mm and the DQE(0) values for radiation exposure 0.19, 0.5, and 1.3 mR were measured as 54%, 55%, and 76%, respectively. The NPS curves gradually decreased at high spatial frequencies. This high DQE at low frequencies, may be useful for low frequency information. The results suggested that mobile DR system could be integrated with emergency ambulance system in teleradiologic imaging applications.

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Variation of Image Quality and Dose by Applying Multi-Leaf Collimator for Digital Mammography (디지털 유방촬영장치에서 다엽 조리개 적용으로 인한 화질과 선량의 변화)

  • Kwon, Soon Mu;Kim, Boo Soon;Park, Hyung Jun;Kang, Yeong Han
    • Journal of the Korean Society of Radiology
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    • v.9 no.7
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    • pp.535-540
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    • 2015
  • Collimator has important functions with control primary X-ray that decrease radiation exposure dose for patients and reduce scatter ray and make better quality of image. But there are no regulations for X-ray mammography device of collimator, so widely used device adopt rectangularly controlled collimator. Though digital X-ray mammography device expand supply recently, rectangularly controlled collimator of film/screen mode still used. After searching for real condition of beam field with digital mammography, we made a multi-leaf collimator which is able to adjust the beam field in accordance with size and shape of breast, and we measuring up the transitions of image quality, average glandular dose(AGD) and, Dose area product(DAP). There are no significant differences between rectangularly controlled collimator and multi-leaf collimator, and DAP value decreased by 50.72%. As conclusion, there needs to expand the use of multi-leaf collimator for optimum adoption of beam field in digital mammography, and also need to develop an automatic regulation of beam field for reduce of exposure dose to patients.

The Solution to the Limitation of the Conventional Digital X-ray System and Its Feasibility Test (디지털 X선 촬영장치의 한계 검사 개선 및 유용성 평가)

  • Gil, Jong-Won;Park, Jeong-Ho;Bae, Seok-Hwan;Hwang, Hye-Jeong;Kim, Yong-Gwon
    • Journal of Digital Convergence
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    • v.12 no.12
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    • pp.371-379
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    • 2014
  • In this study, we conducted a survey on the limited examinations of the DR system to the 30 radiologic technologists engaging in the clinical sites and university hospitals in Daejeon metropolitan city from Oct. 15, 2012 to Nov. 15, 2012. Based on the survey results, we propose the conceptual design of a supplementary table for the conventional DR system to extend the examination capability and overcome the limitation of DR system. And, we evaluated the convenience and usefulness of the proposed table by applying it to five subjects. Ten experts were involved to evaluate the clinical usefulness of the obtained images. In this study, the experimental results show the feasibility to overcome the limited examination of the conventional DR system, and the proposed supplementary table may be beneficial to patients and hospitals.

A comparison of periapical radiographs and their digital images for the detection of dental caries (인접면 치아우식증의 진단의 치근단 X선사진과 디지털영상의 비교)

  • Kang Byung-Cheol
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.24 no.1
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    • pp.31-35
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    • 1994
  • 전남대학교 치과진료처에 내원한 환자의 구내방사선사진중 1단계 (Cl: 30개 병소)또는 2단계(C2: 213.8병소)의 인접면 치아우식을 가진 방사선사진 168장을 연구대상으로 하였다. 이들 방사선사진은 코닥사의 Ektaspeed(E group) 필름을 사용하여 평행촬영법으로 촬영하였다. 168장의 방사선사진에 대하여 1단계 및 2단계 치아우식증을 4명의 구강악안면방사선학을 전공한 치과의사들이 같이 판독하여 그 결과를 기록하였다. 또한 168장의 방사선사진을 필름-비디오 변환장치를 이용하여 디지털 영상으로 전환하였다. 이때 486 DX PC에 PCVision과 frame grabber를 이용하였다. 각각의 구내방사선사 진영상은 17"크기의 1280×768픽셀의 해상도를 갖는 모니터상에서 256단계 흑화도를 갖는 700×480픽셀로 제시되었다. 모니터상에서의 치아우식 판독 결과를 구내방사선사진 판독 결과와 비교하였다. 그 결과 sensitivity는 0.98이었다. 1단계 치아우식은 0.87, 2단계 치아우식 은 1.00의 sensitivity를 나타내었다.

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Evaluation of Linearity Air Kerma Applied to the IEC 60601-2-45 Standard in Mammographic X-ray (유방촬영용 X선 진단장치에서 IEC 60601-2-45 표준규격을 적용한 직선성 평가)

  • Hong, Dong-Hee;Jung, Hong-Ryang;Lim, Cheong-Hwan;Han, Beom-Hee;Han, Sang-Hyun;Lee, Sang-Ho;Mo, Eun-Hee;Kim, Ki-Jung;Lee, Mi-Hwa;You, In-Gyu
    • Journal of Digital Convergence
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    • v.12 no.3
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    • pp.339-344
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    • 2014
  • The quality control items of mammography devices in South Korea do not include the linearity, which is required by international standards. The linearity is a requirement for the adjustment of radiation dose and radiation quality. This study tested the linearity, which was suitable for the IEC 60601-2-45 standard, of the 5 mammography devices. All showed adequate results. Consistent measurement management is required for more developed quality control in the future.

Dose Change according to Diameter Change of the Cone for Dental X-ray Apparatus (치과구내용 X선발생기의 조사통 직경 변화에 따른 선량변화)

  • Ahn, Sung-Min;Oh, Jung-Hoan;Choi, Jung-Hyun;Shin, Gwi-Soon;Kim, Sung-Chul
    • The Journal of the Korea Contents Association
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    • v.10 no.3
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    • pp.266-270
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    • 2010
  • In case of the Dental X-ray apparatus, the diameter (or the field size) of the tip of the cone should be less than 7 cm according to the Diagnosis Radiation Equipment Safety Management. However, deviation from the field is not expected to be big as photography is made at close range from the skin. Also, as the size of film or digital detector used in intra-oral photography is $3\times4cm^2$, the size mentioned above can be considered to be much bigger. Furthermore, the patient dose by short-distance photography can not be ignored. Therefore, effect on the patient dose, resolution and image qualty was examined by reducing the cone diameter by 0.5 cm interval. The result showed that the patient dose was reduced and a partial improvement in picture contrast was observed. Therefore, it can be concluded from these results that further investigation may be worthwhile in terms of policy.

Analysis of Uncertainties due to Digitally Reconstructed Radiographic (DRR) Image Quality in 2D-2D Matching between DRRs and kV X-ray Images from the On-Board Imager (OBI) (디지털 재구성 방사선영상과 온보드 영상장치를 이용한 2D-2D 정합 시 디지털 재구성 방사선영상의 질이 정합 정확도에 미치는 영향 분석)

  • Cheong Kwang-Ho;Cho Byung-Chul;Kaug Sei-Kwon;Kim Kyoung-Joo;Bae Hoon-Sik;Suh Tae-Suk
    • Progress in Medical Physics
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    • v.17 no.2
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    • pp.67-76
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    • 2006
  • We evaluated the accuracy of a patient setup error correction due to reference image quality for a 2D-2D matching process. Digitally reconstructed radiographs (DRRs) generated by use of the Pinnacle3 and the Eclipse for various regions of a humanoid phantom and a patient for different CT slice thickness were employed as a reference images and kV X-ray Images from the On-Board Imager were registered to the reference DRRs. In comparison of the DRRs and profiles, DRR image quality was getting worse with an increase of CT image slice thickness. However there were only slight differences of setup errors evaluation between matching results for good and poor reference DRRs. Although DRR image quality did not strongly affect to the 2D-2D matching accuracy, there are still potential errors for matching procedure, therefore we recommend that DRR images are needed to be generated with less than 3mm slice thickness for 2D-2D matching.

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A Study on the Proper Chest Exposure Conditions of Mobile Digital X-ray Unit by Exposure Index (Exposure Index를 이용한 이동형 디지털 X선 장치의 흉부촬영 적정노출조건에 관한 연구)

  • Kim, Jae-In;Lee, Yang-Sub;Jang, Dong-Soo;Jung, Min-Cheol;Bae, Seung-Ho;Lee, Kwan-Sub;Ha, Dong-Yoon
    • Korean Journal of Digital Imaging in Medicine
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    • v.13 no.3
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    • pp.139-144
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    • 2011
  • The purpose of this report is recommending a standard indicator which reflects the radiation exposure that is incident on a detector after every exposure event and that reflects the noise levels present in the image data. The experiment was performed with mobile digital X-ray unit and used a acrylic phantom for exposure index measurement. Exposure modality was kVp, mAs, SID. After every exposure, make a data sheet for characteristic curve of detector response. The equipment performed Mobile digital X-ray unit provide the user with values ralated to the incident exposure(air kerma)to the digital detector. They are showed as a logarithmic function shaped. As a result, DEI means a relative measure of exposure to the detector, as compared to the expected exposure for a particular anatomical view. Radiographic technique is the combination of factors used to exposure an anatomical part to produce a high quality radiography and technique charts used most commonly by radiographers to produce consistently exposure level which patient dose can be kept acceptably low.

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Comparison of Center Error or X-ray Field and Light Field Size of Diagnostic Digital X-ray Unit according to the Hospital Grade (병원 등급에 따른 X선조사야와 광조사야 간의 면적 및 중심점 오차 비교)

  • Lee, Won-Jeong;Song, Gyu-Ri;Shin, Hyun-yi
    • Journal of the Korean Society of Radiology
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    • v.14 no.3
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    • pp.245-252
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    • 2020
  • The purpose of this study was intended to recognize the importance of quality control (QC) in order to reduce exposure and improve image quality by comparing the center-point (CP) of according to hospital grade and the difference between X-ray field (XF) and light field (LF) in diagnostic digital X-ray devices. XF and LF size, CP were measured in 12 digital X-ray devices at 10 hospitals located in 00 metropolitan cities. Phantom was made in different width respectively, using 0.8 mm wire after attaching to the standardized graph paper on transparent plastic plate and marked as cross wire in the center of the phantom. After placing the phantom on the table of the digital X-ray device, the images were obtained by shooting it vertically each field of survey. All images were acquired under the same conditions of exposure at distance of 100cm between the focus-detector. XF and LF size, CP error were measured using the picture archiving communication system. data were expressed as mean with standard error and then analyzed using SPSS ver. 22.0. The difference in field between the XF and LF size was the smallest in clinic, followed by university hospitals, hospitals and general hospitals. Based on the university hospitals with the least CP error, there was a statistically significant difference in CP error between university hospitals and clinics (p=0.024). Group less than 36-month after QC had fewer statistical errors than 36-month group (0.26 vs. 0.88, p=0.036). The difference between the XF and LF size was the lowest in clinic and CP error was the lowest in university hospital. Moreover, hospitals with short period of time after QC have fewer CP error and it means that introduction of timely QC according to the QC items is essential.