• Title/Summary/Keyword: 방사선피폭자

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Perceptions of Patients and Radiologists on Exposure to Diagnostic Radiation (진단용 방사선 피폭에 관한 환자 및 종사자간 인식도 비교)

  • Kim, Gab-Jung;Hong, Jee-Young;Lee, Moo-Sik;Na, Baeg-Ju;Lee, Jin-Yong;Lee, Boo-Woo
    • Proceedings of the KAIS Fall Conference
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    • 2011.05b
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    • pp.1072-1075
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    • 2011
  • 이 연구는 진단용 방사선피폭에 대한 환자 및 종사자의 방사선 인식도, 방사선 지식정도, 방사선 피폭의 유해성, 진단방사선의 필요성, 방사선의 피폭방지, 정보파악의 유무 및 파악경로, 방사선 검사 시 심리적 상태에 영향을 미치는 요인을 살펴보고자 하는 연구이다. 2010년 10월 25일부터 11월 10일까지 일개 광역시 소재하는 종합병원 및 의원에 근무하는 방사선사와 2주내에 진단 방사선을 이용한 해당 의료기관에 내원한 환자를 대상으로 총 347부의 유효설문지를 사용 하였다. 방사선에 대한 인식도에 영향을 미치는 요인으로는 환자의 경우, 직업, 2년내 건강검진 경험, 방사선 피폭에 대한 설명을 들은 경험으로 나타났고, 근무자의 경우, 2년내 교육이수 경험으로 나타났다. 방사선에 대한 지식정도에 영향을 미치는 요인으로는 환자의 경우, 2년내 건강검진 경험으로 나타났고, 근무자의 경우, 연령, 근무기관으로 나타났다. 방사선의 유해성에 영향을 미치는 요인으로는 환자의 경우, 성별, 2년내 건강검진 경험, 정보매체로 나타났고, 근무자의 경우, 근무기관으로 나타났다. 방사선의 필요성에 영향을 미치는 요인으로는 환자의 경우, 월소득, 거주지로 나타났고, 근무자의 경우, 결혼상태, 피폭선량계 착용여부, 환자에게 피폭에 대한 설명을 하는 것으로 나타났다. 방사선 피폭방지에 영향을 미치는 요인으로는 환자의 경우, 직업, 월소득, 2년 내 건강검진 경험으로 나타났고, 근무자의 경우 환자에게 피폭에 대한 설명을 하는 것으로 나타났다. 방사선검사의 심리적 상태에 영향을 미치는 요인으로는 환자의 경우, 방사선에 대한 피폭설명을 들은 경험, 직업으로 나타났고, 근무자의 경우, 연령, 경력, 2년내 교육이수 경험으로 나타났다. 그러므로 방사선 종사자들도 방사선의 위해성에 대한 올바른 인식을 하게 하여 방사선 방어를 적극적으로 할 수 있는 행동을 유도하기 위해서는 이용 방사선의 특성에 맞는 방사선 안전 관리 교육 프로그램의 개발과 방사선 종사자 스스로 방사선에 대한 안전성 확보를 위하여 노력해야 할 것이다.

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A Study on the Management of Exposure of Workers and Assistants Related to Diagnostic Radiation (진단용 방사선 관련 업무 종사자의 피폭관리에 관한 연구)

  • Lim, Chang-Seon
    • The Korean Society of Law and Medicine
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    • v.22 no.3
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    • pp.97-124
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    • 2021
  • In medical institutions, there are radiation-related workers such as radiological technologists, physicians, dentists, and dental hygienists who handle diagnostic radiation generators. Also, there are work assistants, such as nurses and assistant nurses, who assist in radiation treatment or transfer patients to the radiation examination room. Radiation exposure management for radiation-related workers is carried out under the 「Medical Service Act」, but there is no legal basis for work assistants, etc. And the management of radiation exposure for diagnosis is regulated by the 「Medical Service Act」, and the management of radiation exposure by therapeutic radiation and nuclear medical examination is governed by the 「Nuclear Safety Act」. Thus, to improve the management of radiation exposure for diagnosis, the regulations on radiation exposure management for diagnosis under the 「Medical Service Act」 were compared and reviewed with those of the 「Nuclear Safety Act」. As a result, the main contents are as follows. First, it is necessary to legislate to include nurses, assistant nurses, and clinical practice students who are likely to be exposed to radiation besides radiationrelated workers as subjects of radiation exposure management for diagnosis. Second, when a radiation-related worker for diagnosis is confirmed to be pregnant, the exposure dose limit should be defined. Third, it is necessary to revise the regulations on the types of personal exposure dosimeters in the 「Rules on the Safety Management of Radiation Generators for Diagnostics」. Fourth, it seems that health examination items for radiation-related workers, radiation workers, and frequent visitors should be the same. Fifth, It is necessary to unify and regulate diagnostic radiation and all medical radiation, including therapeutic radiation and nuclear medicine, in one legal system.

3차원 그래픽 시뮬레이션 기술을 이용한 원자력 발전소 폐기물 처리 작업 중 동선에 따른 방사선 피폭 변화

  • 박원만;김윤혁;김경수;황주호
    • Proceedings of the Korean Radioactive Waste Society Conference
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    • 2004.06a
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    • pp.427-429
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    • 2004
  • 본 연구에서는 국내 방사선 작업 종사자의 연간 피폭량 중 상당부분(30%)를 차지하는 원자력 발전소 작업 종사자의 방사선 피폭량을 3차원 그래픽 시뮬레이션 기술 및 Java 프로그래밍과 수치해석 방법을 이용하여, 보다 안전한 작업 계획 수립에 필요한 작업 동선에 따른 방사선 피폭변화에 대하여 연구하였다. 원자력 발전소의 방사성 폐기물 처리 시설에 대해 3차원 그래픽으로 모델링 작업을 수행하고, 가상공간에서 선원과 작업자와의 거리 및 시간에 따른 방사선 피폭량을 수치 해석적으로 계산하였다. 선원의 종류에 따른 특정감마선($\tau$상수)을 입력하여 가상 작업 시뮬레이션 동안의 피폭선량을 평가하였으며, 시간에 따른 가상 작업자의 위치와 이동거리, 방사선 피폭량 등의 결과데이터 파일을 이용하여 작업 결과를 분석하였다.

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Study on the Method for Reducing the Operator's Exposure Dose From a C-Arm System (C-Arm 장비의 사용 시 시술자의 피폭선량 저 감화 방법 연구)

  • Kim, Ki-Sik;Song, Jong-Nam;Kim, Seung-Ok
    • Journal of radiological science and technology
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    • v.39 no.4
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    • pp.493-499
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    • 2016
  • In this study, C-Arm equipment is being used as we intend to verify the exposure dose on the operator by the scattering rays during the operation of the C-Arm equipment and to provide an effective method of reducing the exposure dose. Exposure dose is less than the Over Tube method utilizes the C-arm equipment Under Tube the scheme, The result showed that the exposure dose on the operator decreased with a thicker shield, and as the operator moved away from the center line. Moreover, as the research time prolongated, the exposure dose increased, and among the three affixed location of the dosimeter, the most exposure dose was measured at gonadal, then followed by chest and thyroid. However, in consideration of the relationship between the operator and the patient, the distance cannot be increased infinitely and the research time cannot be decreased infinitely in order to reduce the exposure dose. Therefore, by changing the thickness of the radiation shield, the exposure dose on the operator was able to be reduced. If you are using a C-Arm equipment discomfort during surgery because the grounds that the procedure is neglected and close to the dose of radiation shielding made can only increase. Because a separate control room cannot be used for the C-Arm equipment due to its characteristic, the exposure dose on the operator needs to be reduced by reinforcing the shield through an appropriate thickness of radiation shield devices, such as apron, etc. during a treatment.

A Study on Radiation Exposure Dose of Operator During Interventional Radiology Procedure (방사선 중재적 시술 중 시술자의 피폭선량에 대한 연구)

  • Jeon, Mi-Eun;Lim, Cheong-Hwan;Jung, Hong-Ryang;You, In-Gyu;Hong, Dong-Hee;Kang, Byung-Sam
    • Journal of radiological science and technology
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    • v.35 no.3
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    • pp.219-226
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    • 2012
  • Interventional radiologists are not aware of the potential injury from procedures. The purpose of this study are to evaluate radiation exposure of interventional radiologist from intervention procedures and to develop guideline of the simple methods for decreasing their radiation exposure from intervention procedure. In this study, Dosimeters were used to monitor operator doses of radiation exposure in a broad range of procedures from 20 interventional radiologist during the periods of 3 months. And, we searched protection methods of each interventional radiologist. During TACE procedure, there was using 0.5 mmPb radiation protector decreased average 89.5 % of radiation exposure. Thicker radiation protector provide decreasing radiation exposure. And radiation exposure dose decreased average 47.7 % by using pulse fluoroscopic mode. Therefore, interventional radiologist should wear protective aprons, use active shielding, monitor their doses, and know how to poisoning themselves during the procedure and operate correct of the machines for minimum dose.

Review on the Working Hours of Radiation Work Plan for ECT through In-service Inspection (원전 가동중 ECT 검사 방사선 작업시간 고찰)

  • Chae, Gyung-Sun
    • Journal of Radiation Protection and Research
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    • v.29 no.1
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    • pp.57-63
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    • 2004
  • As a part of In-service Inspection works in a nuclear power plant, Eddy Current Testing through all the outage of nuclear power plants has been controlled by the radiation management. From the case study about the periodical ECT work, the exposed dose rate of worker has announced over the organized dose rate before the radiation work, it affects the personnel exposed dose management and radiation work permit issue. It is not easy to get some information about ECT related working hours, scope of work and how many workers to forecast the radiation working and the predict dose exposure. It should be need the data accumulation about ECT related radiation work to prepare the ALARA achievement and the radiation work plan for dose mitigation. We can discuss a few information about ECT related radiation working issue for the application of predict dose exposure on this paper.

Planning of Optimal Work Path for Minimizing Exposure Dose During Radiation Work in Radwaste Storage (방사성 폐기물 저장시설에서의 방사선 작업 중 피폭선량 최소화를 위한 최적 작업경로 계획)

  • Park, Won-Man;Kim, Kyung-Soo;Whang, Joo-Ho
    • Journal of Radiation Protection and Research
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    • v.30 no.1
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    • pp.17-25
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    • 2005
  • Since the safety of nuclear power plant has been becoming a big social issue the exposure dose of radiation for workers has been one of the important factors concerning the safety problem. The existing calculation methods of radiation dose used in the planning of radiation work assume that dose rate does not depend on the location within a work space thus the variation of exposure dose by different work path is not considered. In this study, a modified numerical method was presented to estimate the exposure dose during radiation work in radwaste storage considering the effects of the distance between a worker and sources. And a new numerical algorithm was suggested to search the optimal work path minimizing the exposure dose in pre-defined work space with given radiation sources. Finally, a virtual work simulation program was developed to visualize the exposure dose of radiation doting radiation works in radwaste storage and provide the capability of simulation for work planning. As a numerical example, a test radiation work was simulated under given space and two radiation sources, and the suggested optimal work path was compared with three predefined work paths. The optimal work path obtained in the study could reduce the exposure dose for the given test work. Based on the results, tile developed numerical method and simulation program could be useful tools in the planning of radiation work.

An Estimate of Image Quality and Radiation Doses of Coronary Artery in MDCT Using Prospective and Retrospective ECG Gating Scan Mode (MDCT 관상동맥 조영 검사에서 전향적 동조화 및 후향적 동조화 기법의 화질과 선량 관계)

  • Oh, Jong-Kap
    • Journal of radiological science and technology
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    • v.34 no.4
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    • pp.315-321
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    • 2011
  • The goal of this study is to reduce patient exposure dose by providing image quality and radiation dose according to inspection methods. Volume Computed Tomography Dose Index(CTDIvol) and Dose Length Product(DLP) of prospective and retrospective ECG gating snapshot segment of Coronary CT angiography(CTA) were measured each snapshot segment methods. CT number, noise, uniformity, and resolution were also measured using phantom under the same condition of coronary CTA. The results showed that CT number, noise, uniformity and resolution are similar to each other. In terms of CTDIvol and DLP, however, measurement dose of prospective ECG gating snapshot segment was lower than the retrospective case by 37.5% and 40.3%. Therefore, it is highly recommended that in the coronary CTA, prospective ECG gating scan mode should be chosen to reduce patient dose.

저선량 방사선 영향과 발현암의 인과성 문제

  • Lee, Jae-Gi
    • Radioisotope journal
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    • v.15 no.3
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    • pp.78-92
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    • 2000
  • 낮은 선량의 방사선피폭으로 인한 건강 위해의 여부에 대하여 과학적 현황을 고찰하였다. 선량과 영향 사이에 문턱 없는 선형비례 모델(LN-T모델)에 대해 역학적, 수학적, 방사선생물학적 측면의 긍정적 논리와 호메시스, 적응반응, 통계적 관점의 비판적 논거를 대비하여 평가하였다. 방사선 피폭이력자에게 발현한 확률적 영향 특히 백혈병을 포함한 암에 대해 그 질환의 방사선 인과성 판단에 대한 애로와 접근 방향을 논의하였다. 객관적인 평가 지표의 하나로 기인확률(PC)을 적용하되 근로자에 대한 제도적 배려 등 고려할 사항을 논의하였다.

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Evaluation on the Radiation Exposure of Radiation Workers in Proton Therapy (양성자 치료 시 방사선 작업 종사자에게 미치는 방사선 피폭에 대한 평가)

  • Lee, Seung-Hyun;Jang, Yo-Jong;Kim, Tae-Yoon;Jeong, Do-Hyung;Choi, Gye-Suk
    • The Journal of Korean Society for Radiation Therapy
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    • v.24 no.2
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    • pp.107-114
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    • 2012
  • Purpose: Unlike the existing linear accelerator with photon, proton therapy produces a number of second radiation due to the kinds of nuclide including neutron that is produced from the interaction with matter, and more attention must be paid on the exposure level of radiation workers for this reason. Therefore, thermoluminescence dosimeter (TLD) that is being widely used to measure radiation was utilized to analyze the exposure level of the radiation workers and propose a basic data about the radiation exposure level during the proton therapy. Materials and Methods: The subjects were radiation workers who worked at the proton therapy center of National Cancer Center and TLD Badge was used to compare the measured data of exposure level. In order to check the dispersion of exposure dose on body parts from the second radiation coming out surrounding the beam line of proton, TLD (width and length: 3 mm each) was attached to on the body spots (lateral canthi, neck, nipples, umbilicus, back, wrists) and retained them for 8 working hours, and the average data was obtained after measuring them for 80 hours. Moreover, in order to look into the dispersion of spatial exposure in the treatment room, TLD was attached on the snout, PPS (Patient Positioning System), Pendant, block closet, DIPS (Digital Image Positioning System), Console, doors and measured its exposure dose level during the working hours per day. Results: As a result of measuring exposure level of TLD Badge of radiation workers, quarterly average was 0.174 mSv, yearly average was 0.543 mSv, and after measuring the exposure level of body spots, it showed that the highest exposed body spot was neck and the lowest exposed body spot was back (the middle point of a line connecting both scapula superior angles). Investigation into the spatial exposure according to the workers' movement revealed that the exposure level was highest near the snout and as the distance becomes distant, it went lower. Conclusion: Even a small amount of exposure will eventually increase cumulative dose and exposure dose on a specific body part can bring health risks if one works in a same location for a long period. Therefore, radiation workers must thoroughly manage exposure dose and try their best to minimize it according to ALARA (As Low As Reasonably Achievable) as the International Commission on Radiological Protection (ICRP) recommends.

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