• Title/Summary/Keyword: 방사선 위험성

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Analysis of Thyroid Nodule Prevalence and Related Factors in Adult Men and Women (성인 남녀에서 갑상선결절 유병률과 관련 인자 분석)

  • Ye-Eun Oh;Jung-Hoon Kim;Sung-Hee Yang
    • Journal of the Korean Society of Radiology
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    • v.18 no.4
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    • pp.373-381
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    • 2024
  • This study aimed to identify and assess the influence of risk factors on the frequency of thyroid nodules diagnosed through ultrasonography among adults visiting for health screenings. The study analyzed 210 adult men and women who underwent thyroid ultrasound at J Hospital in Busan. The differences in variables were analyzed using Chi-square and independent t-tests, and risk ratios were calculated using binary logistic regression. The results showed significant differences in gender, age, T3, Free T4, Uric acid, T-chol, HDL-C and LDL-C. The risk ratios for risk factors indicated that women had a 2.42 times higher risk compared to men, and the age groups 41-50 and over 61 had risks 2.32 and 2.22 times higher, respectively compared to those under 40. Conversely, and increase in T3 and Free T4 levels was associated with a decreased risk of 0.12 and 0.86 times, respectively, while lipid levels had negligible influence. Based on these findings, it is concluded that regular ultrasonography monitoring, rather than solely relying on biochemical markers, is crucial for the early detection and management of thyroid nodules.

Association of Carotid Artery Intima-Media Thickness and Cardiovascular Risk Factors in Adult (성인에서 총경동맥 내중막 두께와 심혈관질환 위험인자와의 관련성)

  • Kim, Mi-Young;Kim, Hwa-Sun;Kim, Shin-Young
    • Journal of radiological science and technology
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    • v.36 no.1
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    • pp.25-30
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    • 2013
  • Increased intima-media thickness(IMT) of the common carotid artery is an early marker of atherosclerosis and a powerful predictor of coronary and cerebrovascular diseases. The purpose of this study was to evaluate the correlation between carotid artery IMT and cardiovascular risk factors. Total 134 adult were performed with Ultrasonography to measure IMT at common carotid artery, the physical measurements and blood tests, the following results were obtained. As a result, IMT showed higher value in male IMT than female IMT. And, the IMT increased according to the age increased. Also, TC and AI have positive significant correlation with IMT. In Conclusion, cardiovascular risk factors with adult are associated with increased IMT of common carotid artery.

Dose Reduction Effect by using Compression Band during Chest CT Examination in Female Patients (여성의 흉부 CT 검사 시 압박밴드 사용에 따른 선량 감소효과)

  • Kim, In Soo;Cho, Yong In
    • Journal of the Korean Society of Radiology
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    • v.15 no.4
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    • pp.445-453
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    • 2021
  • CT scan is reported to have a high risk of cancer due to a relatively high dose among medical radiological examinations. In particular, exposure to radiation to the breast, which is sensitive to radiation, is inevitable during a chest CT scan for female patient. In this study, the dose reduction effect of wearing a compression band during chest CT scans in women was evaluated, and the lifetime attributable risk due to the effective dose exposed during the CT scan was estimated. As a result, when the compression band was used, the effective tube current decreased as the outer perimeter of the chest became smaller, and it was analyzed that the CT dose index and effective dose were also reduced. In addition, the lifetime attributable risk by chest CT scan was found to reduce the cancer risk by 3.2 per 100,000 for all cancers, 0.2 per 100,000 for solid cancer, and 0.8 per 100,000 for breast cancer, based on women in their 30s when using a compression band. It is judged that the risk of cancer can be reduced through the use of appropriate scan parameters and dose optimization measures such as compression bands for future CT examinations.

Evaluation of Clinical Risk according to Multi-Leaf Collimator Positioning Error in Spinal Radiosurgery (척추 방사선수술 시 다엽콜리메이터 위치 오차의 임상적 위험성 평가)

  • Dong‑Jin Kang;Geon Oh;Young‑Joo Shin;Jin-Kyu Kang;Jae-Yong Jung;Boram Lee
    • Journal of radiological science and technology
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    • v.46 no.6
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    • pp.527-533
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    • 2023
  • The purpose of this study is to evaluate the clinical risk of spinal radiosurgery by calculating the dose difference due to dose calculation algorithm and multi-leaf collimator positioning error. The images acquired by the CT simulator were recalculated by correcting the multi-leaf collimator position in the dose verification program created using MATLAB and applying stoichiometric calibration and Monte Carlo algorithm. With multi-leaf collimator positioning error, the clinical target volume (CTV) showed a dose difference of up to 13% in the dose delivered to the 95% volume, while the gross tumor volume (GTV) showed a dose difference of 9%. The average dose delivered to the total volume showed dose variation from -8.9% to 9% and -10.1% to 10.2% for GTV and CTV, respectively. The maximum dose delivered to the total volume of the spinal cord showed a dose difference from -14.2% to 19.6%, and the dose delivered to the 0.35 ㎤ volume showed a dose difference from -15.5% to 19.4%. In future research, automating the linkage between treatment planning systems and dose verification programs would be useful for spinal radiosurgery.

Verification of the Protective Effect of Functional Shielding Cream for the Prevention of X-ray Low-dose Exposure (X-ray 저선량 피폭방지를 위한 기능성 차폐크림의 방어 효과 검증)

  • Seon-Chil Kim
    • Journal of the Korean Society of Radiology
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    • v.17 no.4
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    • pp.497-506
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    • 2023
  • In the case of radiation workers in medical institutions, radiation exposure is made for patient protection and accurate procedures, so they have a problem of low dose exposure. Low-dose radiation exposure occurs mainly in parts of the body other than the Apron area, and the most frequent place is the skin of the back of the hand. In particular, since the medical personnel's hands require senses and fine movements during the procedure, they are defenseless in the radiation exposure area and are at risk of exposure. It can solve the problem of shielding such as lead gloves, and it is difficult to use by suggesting the activity of the hand during the procedure. To solve this problem, a shielding cream capable of obtaining a functional radiation protection effect was developed and its shielding performance was compared with lead equivalent of 0.1 mmPb. In the process of manufacturing shielding cream, the shielding performance was improved by adding a defoaming process to reduce air holes to increase the density of the cream. Therefore, the shielding cream using barium sulfate as the main material has a lower shielding rate than the lead plate, and in the realm of effective energy, it is 59%, At high effective energy, a difference of about 37% was shown, indicating that there is a functional radiation protection effect. The advantage is that it can be used directly on the skin, and it is considered that it can be used before wearing surgical gloves and has a permanent protective effect.

The Relationship Between Lumbar Spine Bone Mineral Density and Cardiovascular Risk Factors in Premenopausal and Postmenopausal Women (폐경 전후 여성의 요추 골밀도와 심혈관 위험인자와의 연관성)

  • Kim, Mi-Young
    • Journal of radiological science and technology
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    • v.30 no.4
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    • pp.365-371
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    • 2007
  • Recent studies suggest a possible pathogenic linkage between the osteoporosis and atherosclerosis. We investigated the relationship between cardiovascular risk factors, including high sensitivity C-reactive (hs-CRP), hs-CRP and bone metabolism in females. Anthropometric measurements were performed on 300 women, and cardiovascular risk factors, including fasting blood glucose, lipid profiles and hs-CRP. An atherogenic index was calculated using the serum total cholesterol level divided by the high-density lipoprotein cholesterol level. The lumbar spine bone mineral density was measured using dual X-ray abosorptiometry. By bivariate analysis, the lumbar spine BMD showed negative correlations with age, systolic and diastolic blood pressures, serum total cholesterol, high-density lipoprotein cholesterol. The Age, BMI and high-density lipoprotein cholesterol showed significant correlations with the lumbar spine BMD. From linear regression analyses of all the study subjects, age, high-density lipoprotein cholesterol were found to be determinants of the lumbar spine BMD($R^2=0.272$).

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정책 - 제2차('17~'21년) 원자력안전종합계획

  • 한국원자력산업회의
    • Nuclear industry
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    • v.36 no.12
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    • pp.2-10
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    • 2016
  • 원자력안전위원회는 12월 8일 제62회 원자력안전위원회를 개최하고, '제2차('17~'21년) 원자력안전종합계획안'에 대한 심의를 거쳐 동 계획을 확정하였다. 제2차 종합계획은 '국민이 공감하는 원자력 안전, 방사선 위험으로부터 안전한 사회'를 비전으로 원자력, 방사선 및 핵안보 등 분야별 안전 강화를 위한 7대 전략 21개 중점 추진 과제를 포함하고 있다. 주요 내용은 ${\triangle}$정상 운전부터 중대사고까지 원전의 안전 관리 강화, ${\triangle}$정보 공개 소통을 통한 투명성 제고, ${\triangle}$해체 사용후핵연료 등 원자력산업의 후행주기 안전 관리 체계 구축, ${\triangle}$지진 등 재난대비 및 방사능 비상 대응 체계의 실효성 제고, ${\triangle}$핵안보 핵비확산체제의 국제사회 선도, ${\triangle}$환경 변화에 대응한 선제적 방사선 안전 관리, ${\triangle}$R&D, 인력 양성, 국제 협력 인프라 확충 등이다. 원자력안전종합계획은 "원자력안전법"에 근거하여 5년 단위로 수립되는 원자력 및 방사선 안전 관련 최상위 국가 계획이다.

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Hematological change in mice injected with radiosensitizer and irradiated with high-dose radiation (증감약제를 투여한 마우스에 고에너지 방사선 조사 후 혈액학적 변화에 관한 연구)

  • Jung, Myo-Young;Ji, Yeon-Sang;Dong, Kyung-Rae
    • Proceedings of the Korea Contents Association Conference
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    • 2009.05a
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    • pp.1136-1140
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    • 2009
  • The current population of elderly is increasing and the with an extended average lifespan, the frequency of cancerous occurrences have also increased, with these increases and the increase in radiotherapy for cancer patients, recognitions of harm and importance have become known. This article was known tumor treatment of patients with hematopoietic disorder by doing a comparative study on the changes in blood cells caused by the acute effects of trace dose to high dose of radiation exposed to mice. According to the sensitizer injection may give rise to harm to the components of peripheral blood. This material needs to be considered when for treating tumor patients and the risks of hematopoietic harm and believe that radiation therapy will be reasonable.

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Effects of Blood Factors on Coronary Artery Calcification Scores (혈액인자가 관상동맥 석회화 수치에 미치는 영향)

  • Park, Mi Jeong;Jang, Hyon Chol;Cho, Pyong Kon
    • Journal of the Korean Society of Radiology
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    • v.15 no.3
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    • pp.337-344
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    • 2021
  • Coronary artery calcification is associated with cardiovascular risk factors and metabolic syndrome, and several studies have already reported that coronary artery calcification score are closely related to the amount of atherosclerotic plaques. This study was conducted on 109 patients who underwent coronary calcium CT who visited the comprehensive health examination center in Daegu city during the period from December 2020 to February 2021. we would like to investigate the relationship between coronary artery calcification score and blood factors. As a result of the study, the abnormal group increased the risk of calcification by 1.113 times compared to the normal group in the waist circumference factor. In the fasting glucose factor, the abnormal group increased the risk of calcification by 1.036 times compared to the normal group, and in the triglyceride factor, the abnormal group was normal. As the risk of calcification increased 1.008 times compared to the group, the waist circumference factor, fasting glucose factor, and triglyceride factor were found to be factors affecting coronary artery calcification score. The risk of developing calcification is primarily associated with waist circumference, anemia and triglycerides, and health care and health checks are expected to help reduce the incidence of cardiovascular disease and reduce medical costs.

Hypothyroidism after Treatment for Head and Neck Cancer (두경부암 치료후 발생하는 갑상선기능저하증)

  • 조재식;이상철;임상철;김종식;박종부;심우진
    • Korean Journal of Bronchoesophagology
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    • v.3 no.1
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    • pp.101-108
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    • 1997
  • Hypothyroidism is not uncommon complication of therapy for head and neck cancer. A series of 52 patients treated with either radiotherapy alone or combined with surgery was retrospectively studied. Diagnostic procedure included total T3, T4 and TSH measured by radioimmunoassay. The rate of hypothyroidism was 25% (subclinical 15.4%, clinical 9.6%). The incidence of hypothyroidism increased to 40% when radiotherapy was combined with surgery. Risk factors influenced a high incidence of hypothyroidism were : tumor stage, primary tumor site, combination of radiotherapy and surgery (especially combined with laryngectomy). We advocate routine monitoring of head md neck cancer patients for hypothyroidism after treatment and recommend levothyroxine replacement therapy for subclinical hypothyroidism.

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