• Title/Summary/Keyword: 방사선검사

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Research on the Hematological Changes in Accordance with Radiation Dose and Radiation Exposure period of the Medical Radiation Workers (의료 방사선 종사자의 피폭기간 및 피폭선량과 혈액성분 변화에 대한 조사)

  • Cho, Jihwan;Jin, Seongjin;Park, Cheolwoo
    • Journal of the Korean Society of Radiology
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    • v.10 no.7
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    • pp.495-502
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    • 2016
  • In this study, we analyzed the effects of radiation exposure, as compared to the hematological parameters change of medical radiation workers and the public. The mean value of all hematological parameters were in the normal range. Eosin mean value of the radiation workers($2.52{\pm}1.79%$) showed that a significantly lower than the control group($2.92{\pm}1.39%$). In the comparison of the results depending on the occupation period, it showed high value that the mean of the radiation workers group WBC, platelet, Lymph, Mono, Baso. Over 20 years of radiation workers WBC, Mono showed low values and less than 10 years of radiation workers mean value of Baso showed low values, there was no statistical significance. In the comparison of the results depending on the 4 years cumulative radiation dose, Over 5.0 mSv of Radiation works RBC($4.61{\pm}0.53$ vs $4.91{\pm}0.38$), Hct($41.51{\pm}4.07$ vs $43.97{\pm}3.40$), Eosin($1.74{\pm}1.14$ vs $2.92{\pm}1.39$) showed low value, it was statistical significance. 0.5~1.0 mSv radiation exposure workers Hb ($13.93{\pm}1.75$) showed a significantly lower value than that of the control group ($14.90{\pm}1.29$).

The Clinical Value about Pulmonary Tuberculosis of Indirect Chest Radiography in Physical Examination for Conscription (징병 신체 검사시 집단 흉부 간접 방사선 촬영의 폐결핵 관련한 진단적 유용성)

  • Park, Sung Bin;Choi, Byeong-Kyoo;Ha, Keun Woo;Seo, Joon Beom
    • Tuberculosis and Respiratory Diseases
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    • v.59 no.4
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    • pp.356-360
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    • 2005
  • Background : This study examined the clinical utility of using indirect chest radiography during a physical examination of new conscripts for determine the presence of pulmonary tuberculosis. Methods : Over an eight-month period, this study examined 25386 people who underwent a physical examination after conscription. The abnormal findings on mass miniature radiography were followed-up using direct chest radiography. The positive predictive value of mass miniature radiography and direct chest radiography was compared. The incidence, degree of infiltration and clinical outcome of active pulmonary tuberculosis were also evaluated during a follow-up examination. Results : The positive rate of mass miniature radiography was 1.19% (n=302). Various lesions were identified: Parenchymal lesions (n=109), mediastinal lesions (n=6), cardiovascular lesions (n=45), pleural lesions (n=49), bony lesions (n=90) and miscellaneous lesions (n=7). The incidence of active pulmonary tuberculosis by mass miniature radiography was 0.26% (n=67). The first diagnosis was made in 50 people; active pulmonary tuberculosis (n=42), pneumonia (n=1), a mediastinal mass (n=1), a rib fracture (n=2) and a pneumothorax (n=4). Most cases of active pulmonary tuberculosis were mildly infiltrated and either improved or were cured by the follow-up examination. Conclusion : Although mass miniature radiography in a physical examination after conscription has limitations, but it is a useful means for detecting the presence of early disease, particularly in active pulmonary tuberculosis.

임상가를 위한 특집 2 - 구강악안면영역에서 양성 종양의 영상진단

  • Kim, Gyeong-A
    • The Journal of the Korean dental association
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    • v.47 no.10
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    • pp.637-646
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    • 2009
  • 양성 종양(benign tumor)을 언급하기에 앞서 과오종(hamartoma) 및 과다 형성(hyperplasia)과의 차이를 구분할 필요가 있다. 양성 종양은 기원조직과 유사한 조직이 이상 증식하는 것으로 서서히 성장하지만 일반적으로 치료하기 전까지 이상 증식을 지속하는 진성 신생물을 일컫는다. 이에 비해 과오종은 정상 조직이 무질서하게 과증식하는 것으로 일정기간 후에는 성장을 멈추기 때문에 진성 신생물로 간주하지 않는다. 그러나 일부 과오종이 양성 종양에 포함되기도 하는데, 예를 들어 치아종은 정상적인 치성 조직의 성장이 완료되는 시기와 거의 동일한 시기에 성장을 멈추지만 양성 종양으로 분류된다. 과다 형성은 조직의 세포가 정상적인 배열 양상을 보이면서 세포의 수가 증가하는 것으로 지속적인 성장 양상을 보이지만 그 성장이 제한적이므로 양성 종양과는 구별된다. 양성 종양은 일반적으로 무통성으로 서서히 성장하기 때문에 종양의 크기가 증가하여 안면 종창이나 동통 등을 유발하는 경우에 발견될 수 있으며, 방사선검사에서 우연히 발견되기도 한다. 방사선검사는 병소의 위치, 범위, 특징 및 병소와 인접 해부학적 구조와의 관계 등 많은 방사선학적 진단 정보를 제공한다. 일부 종양은 방사선사진에서 매우 특징적인 소견을 나타내기 때문에 방사선학적 소견으로 예비 진단을 할 수 있을 정도의 진단정보를 제공하기도 하는 반면 어떤 종양들은 방사선사진에서 관찰되는 소견이 매우 유사하여 진단에 어려움을 주기도 한다. 따라서 종양의 확진을 위해서는 생검이 필수적이며, 방사선검사는 반드시 생검에 앞서 진행되어야만 정확한 방사선학적 진단을 할 수 있다. 양성 종양은 각각의 특징적인 방사선학적인 소견을 나타내지만 일반적으로 관찰되는 양성 종양의 특징이 존재하므로 이러한 일반적인 특징을 관찰하여 병소가 양성인지 악성인지를 감별할 수 있다. 첫째, 양성 종양은 대개 호발하는 부위가 있으므로 종양의 발생부위는 감별 진단을 하는 데 매우 중요하다. 일반적으로 치성 병소는 치아가 형성되는 하악관 상방의 치조돌기에서, 혈관성 및 신경성 병소는 하악관 내에서, 연골성 종양은 하악과두와 같이 연골세포가 잔존되어 있는 부위에서 발생하는 경우가 많다. 둘째, 양성 종양은 대체로 명확한 경계와 피질골성 변연을 보이며, 종종 병소가 결체조직으로 둘러싸여 있어 병소 주위에 방사선투과성 띠가 관찰되기도 한다. 셋째, 양성 종양은 일반적으로 인접 주위 조직에 압력을 가하면서 서서히 성장하기 때문에 인접 치아의 변위 또는 흡수, 피질골의 비박, 팽융 등의 소견을 보이며 피질골의 천공은 드물다. 방사선학적으로 양성 종양의 병소 내부는 방사선투과상으로 관찰되거나, 방사선불투과상으로 관찰되거나, 방사선투과상과 방사선불투과상이 혼재된 상으로 관찰된다. 저자는 이 지면에서 이러한 방사선학적 특징을 기초로 하여 구강악안면영역에 발생하는 양성 종양을 분류하고 각각의 특징에 대해 살펴보고자 한다.

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Usefulness Evaluation 'Ankle Stress View Compared with MRI scan' of Subacute Ankle Sprain (아급성기 발목염좌에 대한 Stress View와 MRI검사 대비 유용성 평가)

  • Ahn, Byeoung-Ju
    • Journal of the Korean Society of Radiology
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    • v.5 no.4
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    • pp.201-205
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    • 2011
  • Subacute Ankle Sprain patients, 3 tests have been acknowledge for diagnostic precision and thus most commonly used to test their soft tissues, muscles, and ligaments: ankle stress-valgus test, anterior-draw test, and MRI scan. Although not much different from the rest two in its diagnostic value, MRI costs patients some money and time. Also, we have reached the conclusion through an experiment with a group of patients in a certain hospital that the rest two methods is as efficient and useful as MRI in diagnosing ankle joint patients.

A Study on the Feasibility of Lead(II) Iodide and Gd2O2S:Tb Overlapping Sensors in Gamma Source Conditions using FLUKA Simulation (FLUKA 전산 모사를 통한 감마선원 조건에서의 요오드화납(II)과 Gd2O2S:Tb가 결합된 센서의 적용가능성 연구)

  • Yang, Seung-Woo;Park, Yoon-Hee;Park, Ji-Koon;Heo, Ye-Ji
    • Journal of the Korean Society of Radiology
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    • v.16 no.4
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    • pp.381-386
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    • 2022
  • Non-Destruction Test (NDT) is a method to check internal defects without destroying the product. Among them, radiographic testing (RT) uses high-energy radiation, so it is very important to prevent radiation exposure of workers. Therefore, in this study, in this study, a radiation sensor structure that improves radiation detection performance compared to the existing PbI2 and can immediately detect accidents in RT was presented. For evaluation, the conversion efficiency was analyzed in the gamma ray source through FLUKA simulation. PbI2 with overlapping Gd2O2S:Tb presented in this study showed a higher radiation sensitivity from 1.22 to 3.22 times than that of non-overlapping PbI2. This indicates that the presented sensor is suitable for use as a radiation sensor for source detection in RT.

A Study on the Accuracy and Convenience of Imaging Method Using Support Device in Knee Joint Lateral Radiography (슬관절의 측면 방사선 촬영에서 보조기구를 이용한 검사방법의 정확성과 편의성에 대한 연구)

  • Uhm, Soyeong;Cho, Yongkeun;Kang, Sungjin
    • Journal of the Korean Society of Radiology
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    • v.11 no.4
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    • pp.253-262
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    • 2017
  • In lateral projection imaging method of knee joint, a method that adjusts the incidence angle of central X-ray toward the head side to $5{\sim}7^{\circ}$ in true lateral position which is existing recommended is called imaging method A, Method of imaging the central X-ray perpendicular to the horizontal plane of the examination table toward the knee is called imaging method B, and a method in which the central X-ray is perpendicularly applied to the joints while the lateral side of the distal tibia is compensated by radiolucent materials is called as method C. After tests each imaging method to classified study subject respectively, the joint space distance and the distance between lateral and medial condyle of femur were measured and compared as the quantitative index from the three imaging methods. In addition, the convenience of each imaging method was confirmed through questionnaires to practician. According to the result of the quantitative index, there is no statistically significant difference in imaging method A and C(p>0.05). However, imaging method B showed a significant difference in both A and C(p<0.05). As a result of evaluating the convenience of the imaging method, imaging method A was relatively assessed lower in all items than imaging methods B and C, and as a small difference, imaging method B is assessed higher than C. In this study suggested new knee joint lateral projection imaging method, by using a simple support device, could describe joint space as not much different as existing recommended method without some complex process, and could increase convenience of the practician in the process of the imaging.

Evaluation of Radiation Exposure to Medical Staff except Nuclear Medicine Department (핵의학 검사 시행하는 환자에 의한 병원 종사자 피폭선량 평가)

  • Lim, Jung Jin;Kim, Ha Kyoon;Kim, Jong Pil;Jo, Sung Wook;Kim, Jin Eui
    • The Korean Journal of Nuclear Medicine Technology
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    • v.20 no.2
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    • pp.32-35
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    • 2016
  • Purpose The goal for this study is to figure out that medical staff except Nuclear Medicine Department could be exposed to radiation from the patients who take Nuclear Medicine examination. Materials and Methods Total 250 patients (Bone scan 100, Myocardial SPECT 100, PET/CT 50) were involved from July to October in 2015, and we measured patient dose rate two times for every patients. First, we checked radiation dose rate right after injecting an isotope (radiopharmaceutical). Secondly, we measured radiation dose rate after each examination. Results In the case of Bone scan, dose rate were $0.0278{\pm}0.0036mSv/h$ after injection and $0.0060{\pm}0.0018mSv/h$ after examination (3 hrs 52 minutes after injection on average). For Myocardial SPECT, dose rate were $0.0245{\pm}0.0027mSv/h$ after injection and $0.0123{\pm}0.0041mSv/h$ after examination (2 hrs 09 minutes after injection on average). Lastly, for PET/CT, dose rate were $0.0439{\pm}0.0087mSv/h$ after examination (68 minutes after injection on average). Conclusion Compared to Nuclear Safety Commission Act, there was no significant harmful effect of the exposure from patients who have been administered radiopharmaceuticals. However, we should strive to keep ALARA(as low as reasonably achievable) principle for radiation protection.

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Job Analysis for Curriculum Improvement of Radiologic technologist (교육과정 개선을 위한 방사선사 직무분석)

  • Lee, Yoon-Hee;Park, Jae-Hyun
    • Journal of radiological science and technology
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    • v.34 no.3
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    • pp.221-229
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    • 2011
  • This paper reports a series of job analyses to develop a curriculum for radiologic technologists by using DACUM (Development A Curriculum). With this method, the jobs of radiologic technologist were divided into 8 duties and 59 tasks. The results showed that the most important duty was 'exposure management (M=4.72)', the most difficult duty was 'radiation therapy (M=4.29)', and the most frequently performed duty was 'radiation examination (M=4.19)' respectively. In addition these results were compared with the current curriculum. It turned out that there are quite differences between the school education and actual work. For example, 'patients care' duty was identified as the main job but only 57.1% of the schools offer related courses. The current curriculum focused on the theory for the radiologic technologist is not sufficient to perform the field operation.