• Title/Summary/Keyword: 방사선 질관리

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A comparative study of educators vs, non-educators designed to improve dental radiographic quality control - Focusing on theories of dental radiographic and practical training and clinical practice education - (치과방사선 질관리 향상을 위한 교육자 대비 비교육자 비교연구 - 치과방사선학 이론 및 실습교육과 임상실습교육을 중심으로 -)

  • Kim, Seung-Hee;Hong, Su-Min;Lee, Kwang-Ok
    • Journal of the Korean Society of Radiology
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    • v.6 no.5
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    • pp.421-426
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    • 2012
  • The purpose of this study was to investigate the knowledge of dental hygiene students of the quality assurance of dental radiation such quality assurance and related educational experiences in an effort to accelerate the preparation of a curriculum for systematic quality-assurance. The subjects in this study were 453 dental hygiene students who participated in dental radiography courses. Varied statistical analyses such as frequency analyses, reliability, chi-square, and independent samples t-tests were conducted on the data collected, using SPSS 12.0. Scheffe test was also used after one-way ANOVA as post-hoc tests. Results showed that (a) the students' acknowledge level of Radiographic Quality Assurance was $7.71{\pm}1.7$ out of 12 on average. The more theory and practical classes students took, the higher points they got (p<0.001); (b) Most of the students experienced 1-3 lessons out of 13 in practical training and 26.3% of students did not take any practical lesson. ;(c)Students who did not take any practical training got 7.20 points out of 13, students who took 1-3 lessons got 7.84 points out of 13, students who took 4-5 lessons got 7.87 points out of 13, and students who took more than 6 lessons got 8.14 points out of 13 on average. The more practical classes they took the higher acknowledge level they were. Therefore it needs to provide adequate practical lessons to them.

Factors affecting radiation safety management of dental hygienist and anxiety of radiation exposure (치과위생사의 방사선 안전관리 실태 및 피폭 불안감에 영향을 미치는 요인)

  • Lee, Hye-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.6
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    • pp.432-439
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    • 2018
  • The purpose of this study was to analyze the knowledge, attitudes, safety management behavior, and radiation anxiety of dental hygienists and to analyze affecting factors in order to improve the level of radiation safety management and reduce anxiety. The study period consisted of 280 dental hygienists working in Jeollabuk-do from September 10 to October 31, 2017 using the SPSS 12.0 program, frequency, descriptive statistics, and multiple regression analysis. The average knowledge level of radiation quality control was 8.07, and the correct answer rate was 75.3%. The attitude level was 96.1%, and the radiation safety management behavior was 4.11 for the photographer and 4.58 for the 'always wear a TLD (personal dosimeter) during radiography'. Patient radiation safety management behavior was 3.86, and the highest was '4.69' to confirm pregnancy of the woman before radiography. Radiation-covered lining was 3.86, and was the highest at 4.13 for 'I am concerned about fetal health when I am pregnant'. Factors affecting radiation exposure anxiety were lower radiation safety management behaviors, lower age, lower radiographic experience, higher educational background, higher monthly income, and higher job title (p<0.05). Based on the above results, dental hygienists had strong knowledge, attitudes, and safety management practices for radiation quality control. However, since anxiety related to radiation exposure was high, it is possible to improve radiation safety management level and reduce radiation exposure anxiety.

Quality Control of Diagnostic X-ray Equipment in Medical Field (의료분야 진단용방사선발생장치의 품질관리)

  • Cho, Pyong-Kon
    • Journal of the Korean Society of Radiology
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    • v.15 no.2
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    • pp.159-164
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    • 2021
  • The examination using diagnostic x-ray equipment is one of the most useful diagnostic equipment for identifying information in the human body in diagnostic radiology. For this reason, the number of examinations has recently increased a lot. Increasing the number of examinations will accelerate the aging of the device. In addition, this makes them aware of the importance of quality control for the diagnostic x-ray device. Particularly, in a diagnostic x-ray device, quality control refers to an act of always maintaining a certain level of image quality by identifying and correcting all problems that may lead to reduction of the diagnosis area in advance. Therefore, this study summarizes and reports general information about quality control in examinations using diagnostic x-ray equipment.

방사성동위원소(放射性同位元素)의 산업적이용(産業的利用)에 따른 방사선관리(放射線管理) 현황(現況) - 비파괴검사분야(非破壞檢査分野)를 중심(中心)으로 -

  • Chae, Hwa-Muk
    • Journal of Radiation Protection and Research
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    • v.15 no.1
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    • pp.33-38
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    • 1990
  • 원자력(原子力)의 이용개발(利用開發)이 급속(急速)하게 추진(推進)되므로써 방사성동위원소(放射性同位元素)와 방사선(放射線)의 취급(取扱)에 대(對)한 안전성확보(安全性確保) 및 관리(管理)라는 문제(問題) 또한 그 양상(樣相)이 복잡(複雜)하게 발생(發生)되고 있다. 1960년대(年代)까지는 주(主)로 연구실(硏究室)이나 병원(病院)의 일부(一部)에서 이용(利用)되었던 RI와 방사선(放射線)이 최근(最近)에와서는 전(全)혀 다른 질(質)과 양(量)으로 또한 상당(相當)히 광범위(廣範圍)한 종류(種類)의 산업체(産業體)에까지 그 이용기술(利用技術)이 보급(普及)되므로써 이를 취급(取扱)또는 접촉(接觸)하는 산업인구(産業人口)가 급격(急激)하게 증가(增加)되고 있다. 이에 수반해서 RI 및 방사선의 안전성 및 그 관리대책(管理對策)의 개선(改善)이 새로운 시각(視覺)에서 재검토(再檢討)되어야 할 것으로 본다. 이러한 산업사회(産業社會)의 요구(要求)에 의해 약 25년간(年間)의 이용경험(利用經驗)을 지니고 있고 안전관리차원(安全管理次元)에서 가장 문제(問題)가 되고 있는 비파괴검사(非破壞檢査) 분야(分野)에서의 RI 및 방사선관리현황(放射線管理現況)과 안전성(安全性) 확보(確保)를 위한 제반(諸般) 문제점(問題點) 및 이의 개선(改善)을 위한 몇가지 제언(提言)을 기술(記述)하고자 한다.

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The Results of the Survey about Present Situation of Quality Assurance for Radiotherapy Machine of Korea (한국의 방사선치료 기기 품질관리 현황에 관한 설문 결과)

  • Jeong, Seonghoon;Yoon, Myonggeun;Lee, Hyunho
    • Progress in Medical Physics
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    • v.26 no.3
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    • pp.185-191
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    • 2015
  • As radiation therapy is one of three major cancer treatment methods, many cancer patients get radiation therapy. Because of the invisible and scattering characteristics of radiation, it is impossible to identify the quality and the amount of radiation and secondary cancer could be induced by scattered radiation. Because of advanced technique of radiation therapy and the reasons mentioned above, quality assurance of radiotherapy machine should be performed completely. International organizations such as International Atomic Energy Agency (IAEA), American Association of Physicists in Medicine (AAPM) suggest report of quality assurance to recommend united method of radiotherapy machine quality assurance. Domestic society of medical physics, however, is too small to make such a report, domestic hospitals selectively choose some of contents in global suggestions. As there are no suggestions for domestic hospitals and global suggestions are being updated, we did a survey about quality assurance for radiotherapy machine. The questionnaire is composed of possession of radiotherapy machine, items performed for quality assurance and manpower, etc. 37 of 72 hospitals answered to survey. These results could be used for making domestic standard quality assurance procedure.

북극 항공로 우주방사선 안전 기준에 관한 연구

  • Hwang, Jeong-A;Lee, Jae-Jin;Jo, Gyeong-Seok;Choe, Ho-Seong;Lee, Seong-Eun;No, Su-Ryeon;Hong, Jin-Hui;Jo, Il-Hyeon
    • Bulletin of the Korean Space Science Society
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    • 2009.10a
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    • pp.25.4-25.4
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    • 2009
  • 국내에서는 대한항공이 2006년 8월 17일에, 북극 항공로를 처음으로 운항하기 시작한지 벌써 3년이 넘어서고 있는 현실에서 국내 항공기의 승무원 및 승객 보호를 위한 우주방사선 안전 기준 연구가 시급한 것이 현실이다. 특히 우주방사선 관리의 필요성을 명시한 생활주변방사선 안전관리법안이 현재 국회 심의중이고, 이에 따른 우주방사선 관련 정책 개발 연구 과제를 한국천문연구원 태양우주환경연구그룹에서 진행 중이다. 이 과제의 현재까지의 진행 상황 및 안전조치 방안들에 대한 나름의 제안에 관해서 이번 발표에서 다루어 질 것이다.

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Case Study for Increasing Internal Customer Satisfaction through Improvement of OCS Program in Radiology Department (방사선부문 OCS 프로그램 개선을 통한 내부고객 만족도 향상)

  • Chung, Chiguk;Kim, Jaeseok;Park, Sun-Kyung;Park, Jai-Soung;Park, Jung-Mi
    • Quality Improvement in Health Care
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    • v.13 no.1
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    • pp.81-85
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    • 2007
  • 문제: 방사선 처방전달시스템(OCS) 프로그램에 대한 내부고객의 불만사항이 제기되었다. 목적: 방사선부분 OCS에 대한 내부고객의 만족도를 평가하고 문제점을 개선하여 만족도를 향상시킨다. 의료기관: 경기도에 소재한 의과대학 소속 병원의 영상의학과 질 향상 활동: 방사선 부분의 내부고객 만족도 조사를 통한 개선 방안 도출 및 평가 개선효과: 전체 만족도 영역에서는 개선 전 불량률 7.49%에서 개선 후 1.41%로 감소하였으며 촬영 및 재료 소모 관리 부문에서 불량률은 개선 전 14.28%에서 개선 후 3.84%로 감소하였다. 교훈: 프로그램 매일 사용하는 내부고객의 평가를 통해 업무효율을 높일 수 있었으며, 개선 효과를 최대화하기 위해서는 각 관련부서간의 협력이 필수적이다.

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A Study on the Status and Improvement Direction of Radiographic Imaging Examination Assessment in Korea Medical Institutions (한국 의료기관의 방사선 영상검사 평가 현황 및 과제)

  • Young-Kwon Cho
    • Journal of the Korean Society of Radiology
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    • v.17 no.4
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    • pp.565-572
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    • 2023
  • This study was conducted to analyze the status radiological imaging examinations assessment in Korea medical institutions conducted in the public sector and suggest a direction for improvement. Among the assessment of medical institutions, the main assessment related to radiographic imaging examinations are the certification evaluation of medical institutions and the adequacy assessment of radiographic imaging examinations. The certification evaluation of medical institutions evaluates the image inspection operation process, provision of accurate results, and compliance with safety management procedures. In the assessment of adequacy of radiographic imaging examinations, structural indicators related to manpower and equipment, patient evaluation implementation rate, and exposure reduction programs were included. However, for safer and higher-quality radiological imaging examinations, it is necessary to increase the participation rate of medical institutions in certification evaluations. In addition, it is necessary to improve the manpower indicator, and incentive payments can be considered to induce quality improvement of medical institutions in the future. Integrated management of radiation exposure at the national level should also be carried out simultaneously.

Accurate Quality Control Method of Bone Mineral Density Measurement -Focus on Dual Energy X-ray Absorptiometry- (골밀도 측정의 정확한 정도관리방법 -이중 에너지 방사선 흡수법을 중심으로-)

  • Kim, Ho-Sung;Dong, Kyung-Rae;Ryu, Young-Hwan
    • Journal of radiological science and technology
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    • v.32 no.4
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    • pp.361-370
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    • 2009
  • The image quality management of bone mineral density is the responsibility and duty of radiologists who carry out examinations. However, inaccurate conclusions due to lack of understanding and ignorance regarding the methodology of image quality management can be a fatal error to the patient. Therefore, objective of this paper is to understand proper image quality management and enumerate methods for examiners and patients, thereby ensuring the reliability of bone mineral density exams. The accuracy and precision of bone mineral density measurements must be at the highest level so that actual biological changes can be detected with even slight changes in bone mineral density. Accuracy and precision should be continuously preserved for image quality of machines. Those factors will contribute to ensure the reliability in bone mineral density exams. Proper equipment management or control methods are set with correcting equipment each morning and after image quality management, a phantom, recommended from the manufacturer, is used for ten to twenty-five measurements in search of a mean value with a permissible range of ${\pm}1.5%$ set as standard. There needs to be daily measurement inspections on the phantom or at least inspections three times a week in order to confirm the existence or nonexistence of changes in values in actual bone mineral density. in addition, bone mineral density measurements were evaluated and recorded following the rules of Shewhart control chart. This type of management has to be conducted for the installation and movement of equipment. For the management methods of inspectors, evaluation of the measurement precision was conducted by testing the reproducibility of the exact same figures without any real biological changes occurring during reinspection. Bone mineral density inspection was applied as the measurement method for patients either taking two measurements thirty times or three measurements fifteen times. An important point when taking measurements was after a measurement whether it was the second or third examination, it was required to descend from the table and then reascend. With a 95% confidence level, the precision error produced from the measurement bone mineral figures came to 2.77 times the minimum of the biological bone mineral density change. The value produced can be stated as the least significant change (LSC) and in the case the value is greater, it can be stated as a section of genuine biological change. From the initial inspection to equipment moving and shifter, management must be carried out and continued in order to achieve the effects. The enforcement of proper quality control of radiologists performing bone mineral density inspections which brings about the durability extensions of equipment and accurate results of calculations will help the assurance of reliable inspections.

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A Study on the Quality of Image of Ultrasound Using the Tissue-mimicking Phantom - in some hospitals jeju province (조직등가팬텀을 이용한 임상초음파 영상의 질에 관한 연구 - 제주도 내 병원을 중심으로 -)

  • Yang, Jeong-Hwa;Lee, Kyung-Sung
    • Journal of radiological science and technology
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    • v.29 no.2
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    • pp.63-69
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    • 2006
  • In diagnostic ultrasound, the quality of image affect to diagnose. To maintain suboptimal imaging uniformly, Quality Assurance of Ultrasound equipment should take periodically. This is article about examination the quality of image in diagnostic ultrasound to understand conditions of probes in hospitals. There is comparative study of convex and linear probes on ultrasound using tissue-mimicking phantom included simulated cysts, echogenic structures. The ultrasonic attenuation coefficient versus frequency of 0.5 dB is representative of normal liver and 0.7 dB is representative of fatty liver condition in ultrasound phantom. There are results of convex probe, 0.5 dB, vertical group, cystic masses, high contrast masses are mostly shown but 0.7 dB, mid level in vertical group, cystic masses and high contrast masses are nearly visible. In linear probe, 0.5 dB, mid level in vertical group, two or four of them are shown in cystic masses and high contrast masses but there are not visible in 11 of cases. 0.7 dB, there are mostly appear under 6 in vertical group, two or four of them show in cystic masses and high contrast masses and there are not shown in 40 of cases, besides. Linear probes in fatty liver condition of ultrasound instrument are not good in the quality of image practically. So there needs to be replace and fix of probes. Actually management of ultrasound probes is inadequate in hospitals. So if there are program of evaluation to check probes periodically in hospitals from establishment of the ultrasound equipment, there will get better image and have a suitable condition of instruments further more.

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