• Title/Summary/Keyword: 복부 X선 검사

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How to Improve Image Quality for the Chest PA and the Simple Abdomen X-ray Examinations (흉, 복부 단순 X-ray 검사 시 영상의 질 향상 방법)

  • Cho, Pyong Kon
    • Journal of the Korean Society of Radiology
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    • v.7 no.3
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    • pp.165-173
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    • 2013
  • The purpose of this study is to examine how much the movement at X-ray examinations like breathing or the positioning affects the image during chest or abdomen X-ray examination so as to create an image containing information as much as possible. The study method adopted is doing the X-ray in each of the states including breathing (inspiration & expiration) and movement in the standing chest PA X-ray and simple abdomen X-ray among the kinds of examination selected the most in hospitals and then evaluating them by applying the standards of image evaluation for each region. According to the study result, about the standing chest PA X-ray, the images taken at inspiration contain more information than those taken at expiration or having subtle movement during the examination. About the simple abdomen X-ray, the images taken at expiration contain more information than those taken at inspiration or movement. The above study results imply that regarding general X-ray examination, information we can find from the images may differ significantly according to the region examined, examination purpose, or movement during the examination like breathing.

Dose Assessment during Pregnancy in Abdominal X-ray Examinations (복부 진단 X선 검사 시 태아 및 임산부의 선량 평가)

  • Woo, Ri-Won;Cho, Yong-In;Kim, Jung-Hoon
    • Journal of the Korean Society of Radiology
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    • v.14 no.3
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    • pp.261-270
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    • 2020
  • In diagnostic X-ray examinations, dose assessments for pregnant female and fetus are realistically difficult, and related research is also lacking. Therefore, in this study, the purpose of the simulation was to analyze the dose and fetal dose for pregnant female during abdominal X-ray examination. Based on the data presented in ICRP 89, this study produced phantom reconstructed of the existing prenatal phantom, which was used to analyze the evaluation of the organ dose and fetal dose of pregnant female according to pregnancy week and the difference between the dose of the existing phantom and the reconstructed phantom. As a result, the abdominal X-ray test showed a tendency to show higher doses for organs close to the direction of the source joining. In addition, it was confirmed that fetal doses in posteroanterior position were reduced by more than 65% compared with anteroposterior position.

The Effect of Body Mass Index on Entrance Surface Air Kerma in Abdominal X-ray Radiography Using Automatic Exposure Control (자동노출제어를 이용한 복부 일반 X선 검사에서 체질량지수가 입사표면공기커마에 미치는 영향)

  • Koo, No-Hyun;Yoon, Hee-Soo;Choi, Kwan-Woo;Lee, Jong-Eun;Kim, Jeong-Jin
    • Journal of the Korean Society of Radiology
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    • v.12 no.5
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    • pp.659-667
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    • 2018
  • The purpose of this study was to determine the effect of body mass index (BMI) on entrance surface air kerma (ESAK) in abdominal X-ray radiography using automatic exposure control (AEC). This study included 321 patients who underwent abdominal X-ray using AEC, and we correlated ESAK with height, weight, BMI and compared mean ESAK according to BMI grades (Underweight, Normal, Overweight, Obese 1, Obese 2). As a result, Weight ($R^2=0.777$, p<.001) and BMI ($R^2=0.835$, p<.001) were positively associated with ESAK, but no significant association was found between height ($R^2=0.075$, p<.001) and ESAK. The mean ESAK with respect to BMI grades showed statistically significant difference and in the post-hoc analysis, the existence of 5 subgroups at the significance level of 0.05 indicated that there were differences in the ESAK in all BMI grades. Also, as the increment of ESAK between two neighboring BMI grades increases from Underweight to Obese 2, the exposure dose dramatically increased as the BMI increased. Thus, an excessive exposure dose due to increasing BMI when using AEC should be acknowledged and Efforts to reduce dose should be taken, such as: by fixing the exposure conditions.

Spatial Dose Distribution for Diagnostic X-ray Examination within X-ray Room using the MCNPX Program (MCNPX 프로그램을 통한 일반 X선 검사 시 검사실 내 공간선량분포)

  • Lee, Dong-yeon;Lee, Jin-soo
    • The Journal of the Korea Contents Association
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    • v.15 no.11
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    • pp.298-306
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    • 2015
  • This study is the material of the additional filter(Cu, Ni, CaWO4, Gd+Ba) being used when the diagnosis X-ray was varied to evaluate the spatial dose distribution accordingly. And it suggest to find a suitable material. Experiments using MCNPX program based on the Monte Carlo simulation method was carried out by selecting the chest and abdomen taken. As a result, each material per dose, the average scatter dose is approximately 62%, 100 cm radius of the point of the simulated body surface exposure dose and 50 cm radius centered on the point average about 47%. It is determined that an Al material is currently available in accordance with the result to be replaced by Cu, Ni material is sufficient. With just the thickness due to the difference in the atomic number and density adjusted to be about one-tenth of the Al it will be suitable.

Change of the Scattered Dose by Field Size in X-ray Radiography (X선 촬영에서 조사야 크기에 따른 산란선량의 변화)

  • Choi, Seong-Kwan
    • The Journal of the Korea Contents Association
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    • v.13 no.3
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    • pp.198-203
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    • 2013
  • The purpose of this study is to investigate the scattered dose of X-ray at a distance of 30cm from the area to be examined when X-ray field is the most optimized and maximized when X-ray is performed on hand, skull and abdomen. As a result of scattered dose of X-ray on hand, skull and abdomen, first, when X-ray field was the most optimized upon adult X-ray examination, it was $0.08{\mu}Sv$, $4.39{\mu}Sv$ and $5.56{\mu}Sv$, respectively. When x-ray field was maximized, it was $0.58{\mu}Sv$, $33.47{\mu}Sv$ and $35.93{\mu}Sv$, respectively. Second, when X-ray field was the most optimized upon pediatric X-ray examination, it was $0.40{\mu}Sv$, $14.51{\mu}Sv$ and $18.86{\mu}Sv$, respectively. When x-ray field was maximized, it was $2.78{\mu}Sv$, $107.40{\mu}Sv$ and $117.52{\mu}Sv$, respectively(P<0.001). As a result, when the size of X-ray field was decreased down to be necessary and optimal upon X-ray examination, emission of scattered X-ray around specimen is reduced approximately 6-7 times as much as that when it was maximized.

Assessment of Entrance Surface Dose and Image Distortion in Accordance with Abdominal Obesity in the Chest Radiography (흉부 X-선 검사에서 복부비만에 따른 입사표면선량과 영상 왜곡도 평가)

  • Kim, Boo Soon;Park, Jeong Kyu;Kwon, Soon Mu
    • Journal of the Korean Society of Radiology
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    • v.9 no.7
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    • pp.473-478
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    • 2015
  • Abdominal obesity is one of the most influential index to predict of insulin resistance syndrome/metabolic syndrome in social demographic characteristics. It is matter of fact that radiation dose are increasing with development of medical treatment and device. In this study, we estimated distortion between reference image and entrance surface dose when take a chest radiography forward chest phantom assumed abdominal obesity. When angle of chest phantom incline $5^{\circ}$ forward, thoracic transverse and longitudinal diameter increase 1.22% and 0.44% each. Also cardiac transverse diameter increase 1.01% and cardio-throracic ratio (CTR) decrease 0.27% in the same situation of incline to $5^{\circ}$ forward. Thoracic transverse diameter shows the largest increase, and CTR was decreased. But entrance surface dose to phantom increase significantly 6.12% when angle of chest phantom incline $5^{\circ}$ forward. In conclusion, we have to pay attention to accurate positioning, to prevent a distortion of image through incline, and make patients not to expose to additional radiation.

A study on the Radiation exposure of simple abdomen x-ray in Radiography (복부 단순 X선검사시 피복 선량에 관한 연구)

  • Ko In Ho;Lee Kyung Sung;Shin Dong Yong
    • Journal of The Korean Radiological Technologist Association
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    • v.27 no.2
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    • pp.57-65
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    • 2001
  • This study was performed to measure about exposure dose during simple abdomen x-ray Radiography. The exposure dose was measured by PDD, surface dose, percentage scatter dose, respectively. The result was as followed: 1. When tube voltage were increased wi

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Assessment of Effective Dose from Diagnostic X-ray Examinations of Adult (진단X선에 의한 성인의 진단행위별 유효선량평가)

  • Kim, Woo-Ran;Lee, Choon-Sik;Lee, Jai-Ki
    • Journal of Radiation Protection and Research
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    • v.27 no.3
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    • pp.155-164
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    • 2002
  • Methodology to evaluate the effective doses to adults undergoing various diagnostic x-ray examinations were established by Monte Carlo simulation of the x-ray examinations. Anthropomorphic mathematical phantoms, the MIRD5 male phantom and the ORNL female phantom, were used as the target body and x-ray spectra were produced by the x-ray spectrum generation code SPEC78. The computational procedure was validated by comparing the resulting doses to the results of NRPB studies for the same diagnostic procedures. The effective doses as well as the organ doses due to chest, abdomen, head and spine examinations were calculated for x-rays incident from AP, PA, LLAT and RLAT directions. For instance, the effective doses from the most common procedures, chest PA and abdomen AP, were 0.029 mSv and 0.44 mSv, respectively. The fact that the effective dose from PA chest x-ray is far lower than the traditional value of 0.3 mSv(or 30 mrem), which results partly from the advances of technology in diagnostic radiology and partly from the differences in the dose concept employed, emphasizes necessities of intensive assessment of the patient doses in wide ranges of medical exposures. The methodology and tools established in this study can easily be applied to dose assessments for other radiology procedures; dose from CT examinations, dose to the fetus due to examinations of pregnant women, dose from pediatric radiology.

Analysis of the Spatial Dose Rates According to the Type of Radiation Source Used in Multi-bed Hospital Room (다인병실에서 이용되는 방사선원의 종류에 따른 공간선량률 분석)

  • Jang, Dong-Gun;Kim, Junghoon;Park, Eun-Tae
    • Journal of radiological science and technology
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    • v.40 no.3
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    • pp.407-413
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    • 2017
  • Medical radiation offers significant benefits in diagnosing and treating patients, but it also generates unnecessary radiation exposure to those nearby. Accordingly, the objective of the present study was to analyze spatial dose rate according to types of radiation source term in multi-bed hospital rooms occupied by patients and general public. MCNPX was used for geometric simulation of multi-bed hospital rooms and radiation source terms, while the radiation source terms were established as whole body bone scan patients and imaging using a portable X-ray generator. The results of simulation on whole body bone scan patients showed $3.46{\mu}Sv/hr$ to another patient position, while experimental results on imaging using a portable X-ray generator showed $1.47{\times}10^{-8}{\mu}Sv/irradiation$ to another patient position in chest imaging and $2.97{\times}10^{-8}{\mu}Sv/irradiation$ to another patient position in abdomen imaging. Multi-bed hospital room, unnecessary radiation generated in the surrounding patients, while legal regulations and systematic measures are needed for radiation exposure in multi-bed hospital rooms that are currently lacking in Korea.

Set Up and Operation for Medical Radiation Exposure Quality Control System of Health Promotion Center (건강검진센터의 의료방사선 피폭 품질관리 시스템 구축 운영 경험 보고)

  • Kim, Jung-Su;Jung, Hae-Kyoung;Kim, Jung-Min
    • Journal of radiological science and technology
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    • v.39 no.1
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    • pp.13-17
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    • 2016
  • In this study, standard model of medical radiation dosage quality control system will be suggested and the useful of this system in clinical field will be reviewed. Radiation dosage information of modalities are gathered from digital imaging and communications in medicine(DICOM) standard data(such as DICOM dose SR and DICOM header) and stored in database. One CT scan, two digital radiography modalities and two mammography modalities in one health promotion center in Seoul are used to derive clinical data for one month. After 1 months research with 703 CT scans, the study shows CT $357.9mGy{\cdot}cm$ in abdomen and pelvic CT, $572.4mGy{\cdot}cm$ in brain without CT, $55.9mGy{\cdot}cm$ in calcium score/heart CT, screening CT at $54mGy{\cdot}cm$ in chest screening CT(low dose screening CT scan), $284.99mGy{\cdot}cm$ in C-spine CT and $341.85mGy{\cdot}cm$ in L-spine CT as health promotion center reference level of each exam. And with 1955 digital radiography cases, it shows $274.0mGy{\cdot}cm2$ and for mammography 6.09 mGy is shown based on 536 cases. The use of medical radiation shall comply with the principles of justification and optimization. This quality management of medical radiation exposure must be performed in order to follow the principle. And the procedure to reduce the radiation exposure of patients and staff can be achieved through this. The results of this study can be applied as a useful tool to perform the quality control of medical radiation exposure.