• Journal of radiological science and technology
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• v.37 no.3
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• pp.177-185
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• 2014

This study focused on effects of patient exposure dose reduction with AEC (Auto Exposure Control) marker that is designed for showing location of AEC in X-ray Chest radiography. It included 880 adults who have to use Chest X-ray Digital Radiography system (DRS, LISTEM, Korea). AEC (Ion chambers are posited in top of both sides) are used to every adult and set X-ray system as Field size $17{\times}17inch$, 120kVp, FFD 180cm. 440 people of control group are posited on detector to include both sides of lung field and the other 440 people of experimental group are set to contact their lung directly to Ion chamber (making marker to shows location). Then, measured every DAP and, estimated patient effective dose by using PCXMC 2.0. The average age of control group (M:F=245:195) is 53.9 and the average BMI is 23.4. BMI ranges from under weight: 35, normal range: 279, over weight: 106 to obese: 20 and average DAP is 223.56mGycm2, Mean effective dose is 0.045mSv. The average age of experimental group (M:F=197:243) is 53.7 and the average BMI is 22.7. BMI ranges from under weight: 34, normal range: 315, over weight: 85 to obese: 6 and average DAP is 207.36mGycm2, Mean effective dose is 0.041mSv. Experimental group shows less Mean effective dose as 0.004mSv (9.7%) than control group. Also, patient numbers who got over exposure more than 0.056mSv (limit point to know efficiency of AEC marker) is 65 in control group (14.7%), 19 in experimental group (4.3%) and take statistics with t-Test. The statistical difference between two groups is 0.006. In order to use proper amount of X-ray in auto exposure controlled chest X-ray system, matching location between ion chamber and body part is needed, and using AEC marker (designed for showing location of ion chamber) is a way to reduce unnecessary patient exposure dose.

• The Journal of the Korea Contents Association
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• v.13 no.8
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• pp.275-283
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• 2013

The patient radiation dose is different depending on selection of Ion chamber when taking Chest PA which using AEC. In this paper, we studied acquiring the best diagnostic images according to selection of Ion chamber on AEC mode as well as minimizing patient radiation dose. Experimental methods were selection of Ion chamber and change of sensitivity under the same conditions as Chest PA projection. At AEC mode, two upper ion chambers sensors and one lower ion chamber sensor were divided into 7 cases according to selection of on/off. after measuring five times respectively, we obtained average value and calculated exposure dose. Image assessment was done with measured Modulation Transfer Function, Peak Signal to Noise Ratio, Root Mean Square, Signal to Noise Ratio, Contrast to Noise Ratio, Mean to Standard deviation Ratio respectively. In exposure assessment results, selection of two upper chambers was the lowest. In resolution assessment results, image of two upper chambers had the second high spatial frequency at sensitivity at 625(High) was 1.343 lp/mm. RMS value of image selecting two upper chambers was low secondly. SNR, CNR, MSR were the high value secondly. As the sensitivity was increased, radiation dose was decreased but better image could be obtained on image quality. In order to obtain the best medical images while minimizing the dose, usage of two upper ion chambers is considered to be clinically useful at sensitivity 625(High).

• The Journal of the Korea Contents Association
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• v.15 no.1
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• pp.316-323
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• 2015

In this study, we analyzed radiation dose and MTF with setting of Ion chamber and changing kVp so that we are able to suggest acquiring optimized diagnostic images and minimizing patient dose. we assumed right lateral decubitus position among chest decubitus projection and set 7 combination of Ion chamber. By changing kVp(100, 110, 120, 130kVp), we exposed x-ray five times respectively and calculated average value after measuring entrance dose. we input the entrance dose value to PCXMC Monte carlo simulation tool and calculated organ dose and effective dose. Then we did physical image evaluation with MTF for the purpose to compare image quality. As a result, the high kVp, entrance dose is reduced. As change of ion chamber, when selecting second ion chamber, both organ dose and effective dose were the lowest. In contrast, selecting first ion chamber was the highest. MTF is superior to set second Ion chamber and using 120 kVp. Consequently, when taking chest right lateral decubitus using Digital radiography, the optimized combination which have both reducing dose efficiently without declining image quality and aquring good qualified image is set 120 kVp and selecting second Ion chamber.