• Title/Summary/Keyword: 일반방사선촬영

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Benign Tumor-Like Developmental Salivary Gland Defect (양성 종양과 유사한 형태를 가진 발육성 타액선 골결손)

  • An, Seo-Young;Kim, Yong-Gun;Jung, Jae-Kwang
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.3
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    • pp.301-307
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    • 2012
  • 50-year-old female and 50-year-old male were referred to the department of the oral and maxillofacial surgery of Kyungpook national university dental hospital with asymptomatic lesions on their posterior mandibular body areas. They were discovered incidentally on panoramic radiographs during routine dental examination. Physical examination revealed no remarkable findings. Each panoramic radiograph showed well defined radiolucent lesions without hyperostotic border on their posterior mandibular body area. At first they were diagnosed as benign tumors because they looked like multilocular pattern and one of the patient showed discontinuity of mandibular canal within the lesion. CT scans demonstrated well demarcated and irregular lingual depression filled with fat tissue and they were diagnosed as developmental salivary gland defects. One of the lesion showed no change on follow-up panoramic radiograph after 4 months. Developmental salivary gland defects resembling benign tumor are atypical cases and it is suggested that confirmatory imaging using CT or MRI should be taken.

Evaluation of image in the center line of digital radiography (DR환경에 따른 일반촬영 검사의 시스템 변화에 관한 연구)

  • Jeung, Sung-Woon;Lim, Chung-Hwan
    • Proceedings of the Korea Contents Association Conference
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    • 2014.11a
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    • pp.207-208
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    • 2014
  • 본 연구는 Film System의 경우 카세트를 사용하여 환자검사부위와 tube 중심선속, 카세트의 중심이 맞았지만 디텍터의 경우 $17^{{\prime}{\prime}}{\times}17^{{\prime}{\prime}}$ 고정형으로써 디텍터의 중심과 tube의 중심선속, 환자의 검사부위가 맞지 않은체로 검사가 이루어지는 경우가 있어, 디지털 방사선장비에서 중심선속에 따른 화질의 변화를 파악하여 Tube의 중심선속과 환자와의 중심선속 일치에 따른 중요성을 제시하고자 한다.

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Analyze for the Quality Control of General X-ray Systems in Capital region (수도권지역 일반촬영 장비의 정도관리 분석)

  • Kang, Byung-Sam;Lee, Kang-Min;Shim, Woo-Yong;Park, Soon-Chul;Choi, Hak-Dong;Cho, Yong-Kwon
    • Journal of radiological science and technology
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    • v.35 no.2
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    • pp.93-102
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    • 2012
  • Thanks to the rapid increase of the interest in the quality control of the General X-ray systems, this research proposes the direction of the quality control through comparing and inspecting the actual condition of the respective quality control in the Clinic, the educational institution and the hospital. The subjects of the investigation are diagnostic radiation equipment's in the clinic, the educational institution and the hospital around the capital. A test of kVp, mR/mAs out put test and reproducibility of the exposure dose, half value layer, an accordance between the light field and the beam alignment test, and lastly reproducibility of the exposure time. Then the mean difference of the percentage, the CV (Coefficient of Variation, CV) and the attenuated curve which are respectively resulted from the above tests are computed. After that we have evaluated the values according to the regulations on the Diagnostic Radiation Equipment Safety Administration regulations. In the case of the clinic and the educational institution, there were 22 general X-ray devices. And 18.2% of the kVp test, 13.6% of the reproducibility of exposure dose test, 9.1% of the mR/mAs out put test, and 13.6% of the HVL (Half Value Layer) test appeared to be improper. In the case of the hospital, however, there were 28 devices. And 7.1% of the reproducibility of exposure dose, 7.1% of the difference in the light field/ beam alignment, and 7.1% of the reproducibility of the exposure time appeared to be improper. According to the investigation, the hospital's quality control condition is better than the condition in the clinic and the educational institution. The quality control condition of the general X-ray devices in the clinic is unsatisfactory compared to the hospital. Thus, it is considered that realizing the importance of the quality control is necessary.

Analysis of Image Distortion by Mandibular Arch Form in Cone Beam CT and Panoramic Image (Cone Beam형 CT와 파노라마 영상에서 하악궁의 영상 왜곡 분석)

  • Jeong, Cheonsoo;Lee, Geeheun
    • Journal of the Korean Society of Radiology
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    • v.7 no.4
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    • pp.301-305
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    • 2013
  • This thesis intends to analyze tooth distortion by mandibular arch form by reproducing existing panorama image and reconstructed panorama image of Cone Beam CT data with the three-dimensional computer program. The diameter of tooth measured in Cone Beam CT's cross-section image and reconstructed panorama was synchronized without any big change from incisors to posteriors. But, panorama showed serious distortion as going to posteriors after showing a little distortion in incisors. The panorama reconstructed for patients' individual arch showed reduced distortion than panoramas used generally. In addition, panorama showed serious distortion from incisors to posteriors and it means that distortion is reduced in reconstructed panorama.

A Study on Projection Angles for an Optimal Image of PNS Water's View on Children (유.소아 부비강 Water's 영상의 이상적 구현을 위한 촬영기준각도 변화에 관한 연구)

  • Son, Sang-Hyuk;Song, Young-Geun;Kim, Sung-Kyu;Hong, Sang-Woo;Kim, Je-Bong
    • Journal of radiological science and technology
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    • v.30 no.2
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    • pp.105-111
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    • 2007
  • This study is to calculate the proper angle for the optimal image of PNS Water's view on children, comparing and analyzing the PNS Water's projection angles between children and adults at every age. This study randomly selected 50 patients who visited the Medical Center from January to May in 2005, and examined the incidence path of central ray, taking a PNS Water's and skull trans-Lat. view in Water's filming position while attaching a lead ball mark on the Orbit, EAM, and acanthion of the patients's skull. And then, we calculated the incidence angles(Angle A) of the line connected from OML and the petrous ridge to the inferior margin of maxilla on general(random) patients's skull image, following the incidence path of central ray. Finally, we analyzed two pieces of the graphs at ages, developing out the patients' ideal images at PNS Water's filming position taken by a digital camera, and calculating the angle(Angle B) between OML and IP(Image Plate). The angle between OML and IP is about $43^{\circ} in 4-years-old children, which is higher than $37^{\circ}, as age increases the angle decreases, it goes to $37^{\circ} around 30 years of age. That is similar result to maxillary growth period. We can get better quality of Water's image for children when taking the PNS Water's view if we change the projection angles, considering maxillary growth for patients in every age stage.

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Diagnosis with Ultrasound for Rib Fractures in the Golf (골프 운동중 발생한 늑골 골절의 초음파 진단)

  • Lim, Che-Joon;Youn, Te-Hyun;An, Ki-Yong
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.7 no.1
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    • pp.50-54
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    • 2008
  • Purpose: In most cases, the main cause of chest or back pain during playing golf is rib fractures. This kind of rib fractures can be easily overlooked in plain radiographs. The purpose of this article is to clarify the value of the ultrasound in detecting rib fractures. Materials and Methods: We compared the findings of chest-X rays (anteroposterior, left or right lateral, both oblique view) with those of the ultrasound in 56 patients between the ages of 20th & 60th who were diagnosed rib fractures. Their chief complaints were chest or back pain which developed during playing golf. The results were analyzed statistically. Results: Among 56 cases of rib fractures, 34 cases were diagnosed with initial X-rays. 51 cases were diagnosed with ultrasound. The sensitivity of radiograph and ultrasound were 60.71% & 91.07%, respectively. Dignosis was ultrasound with statical significance whereas radiography did not(p=0.0004). Conclusion: It was concluded that ultrasound is a valuable tool in the diagnosis of the rib fractures which were undetected with X-rays during playing golf.

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Comparison Analysis of MR Images Before and After External Beam Radiotherapy in Brachytherapy (근접치료 시 외부 방사선 치료 전후의 MR 영상 비교분석)

  • Choi, Eun-Hye;Baek, Chung-Seok;Lee, Sung-Yong;Byun, Young-Sik
    • The Journal of Korean Society for Radiation Therapy
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    • v.23 no.1
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    • pp.7-12
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    • 2011
  • Purpose: To analyze availability of MR images before and after external beam radiotherapy in brachytherapy, we will acquire MR images before and after external beam radiotherapy and compare the change of direction of uterine cavity and analyze the accuracy of applicator insertion. Materials and Methods: From January 2009 to December 2010, we compared MR images before and after external beam radiotherapy for uterine cervical cancer only with radical purpose treatment. MR images which was acquired after external beam radiotherapy has done with inserted status of CT/MR applicator. Results: As a consequence, the tumor was markedly reduced after external beam radiotherapy. The change of anteflexion of uterus turned into retroflexion of the uterine cavity was 17.1%. The case of wrong insertion of tandem include direction or length was 14.3%. Conclusion: According to MR images taken after external beam radiotherapy, we recognized not only reduced the tumor volume but the marked change of exact direction or length of the uterine cavity. So the confirmation of accurate insertion based on MR images before brachytherapy could be very helpful for optimal brachytherapy treatment planning with reduced applicator insertion errors.

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A Study on the Exposure Parameter and the Patient Dose for Digital Radiography System in Dae Goo (디지털 방사선의학에서의 조사선량 설정과 인지에 대한 실태 - 대구 경북지역을 중심으로 -)

  • Jo, Gwang-Ho;Kang, Yeong-Han;Kim, Bu-Sun
    • Journal of radiological science and technology
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    • v.31 no.2
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    • pp.177-182
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    • 2008
  • Digital imaging for general rediography has many advantages over the film/screen systems, including a wider dynamic range and the ability to manipulate the images produced. The wider range means that acceptable images may by acquired at a range of dose levels, and therefore repeat exposures can be reduced. Digital imaging can result in the over use of radiation, however, because there is a tendency can be reduced. Digital imaging can result in the over use of radiation, however, because there is a tendency for images to be acquired at too high a dose. We investigated the actual exposure dose conditions on general radiography and a questionnaire survey was conducted with radiotechnologiest at medical institutions using digital radiology system. As a results, the dose of exposure was not controlled with patient's figure and dose optimization but was controlled by worker's convenience and image quality. Radio-technologiests often set up the exposure dose regardless of patient figure and body part to be examined. Many organizations, such as the International Commission on Radiological Protection, recommend to keep the dose as low as possible. In addition, they strongly recommend to keep the optimal but minimal dosage by proper training programs and constant quality control, including frequent patient dose evaluations and education.

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A Study on the Distribution of Microorganisms in Department of Radiography (영상의학과 촬영실의 미생물 분포에 관한 연구)

  • Chang, Jeong-Hyun;Yang, Eun-Ju;Kim, Young-Jae
    • Journal of the Korean Society of Radiology
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    • v.15 no.2
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    • pp.165-171
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    • 2021
  • To prevent the secondary hospital-acquired infection (cross-infection) from occurring in the general radiographic room in the department of radiology, the microbial measurement was conducted at the points making direct close contact with radiologists and patients. For the case of radiologists, the microbial measurement and incubation were focused on the x-ray tube handle of the radiation generating device, and, for the case of patients, the microbial measurement and incubation were focused on the chin supporting device, chest-contact point, and handle. Once disinfected with Aniosurf, the sterilized media were gathered and identified, and the microorganisms were confirmed. Based on the identification results, it was confirmed that the points making direct close contact with radiologists showed a value of 103 CFU for Proteus mirabilis, Staphylococcus epidermidis, Bacillus spp. and Candida spp., and that the points making direct close contact with patients showed a value of 103~5 CFU for Proteus mirabilis, Enterococcu faecium, Pseudomonas aeruginosa, NTM(Non-Tuberculosis Mycobacteria) and Candida spp.. It was also confirmed that the types and number of microorganisms gathered from the points making direct close contact with patients were greater. Fortunately, most of the involved microorganisms were observed to be on the skin surface and are known to become extinct when disinfected in accordance with the hospital-acquired infection control rules. However, since even minor exposure to such microorganisms may be lethal for patients with reduced immunity, caution must be taken. In particular, since the points making contact with patients showed a high level of microbial measurement, it was thought that it would be necessary for radiologists and personnel having frequent access to strictly disinfect the parts, such as instruments and handles, making frequent contact with patients. The purpose of this study was to announce the importance of safe microbial control in the radiographic inspection room in hospital, and this study is expected to be used as the baseline data for preventing hospital-acquired secondary infection and Nth infectious diseases.

A Study on the Utilization of Diagnostic Equipments and Patient Dose for Diagnostic Radiological Procedures in Korea (진단방사선영역에서 방사선장치의 이용실태 및 환자피폭선량에 관한 조사연구)

  • Kim Youhyun;Choi Jonghak;Kim Sungsoo;Lee Chanhyeup;Cho Pyongkon;Lee Youngbae;Kim Chelmin
    • Progress in Medical Physics
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    • v.16 no.1
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    • pp.10-15
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    • 2005
  • IAEA's guidance levels have been provided for western people to the end. Guidance levels lower than the IAEA'S will be necessary in view of Korean people's proportions. Therefore, we need to develope the standard doses for Korean people. And we conducted a nationwide survey of patient dose from x-ray examinations in Korea. In this study, the 278 institutions were selected from Members Book of Korean Hospital Association. The valid response rate was approximately 57.9%. Doses were calculated from the questionnaires by NDD method. We obtained the results were as follows; 1) General radiographic equipments were distributed for 42.0%, fluoroscopic equipments 29.4%, dental equipments 13.2%, CT units 8.1 % and mamographic units 7.2%. 2) According to classification by rectification, three-phase equipments were 29.9%, inverter-type generators 29.5%, single-phase equipments 25.5%, constant voltage units 9.0% and unknown units 6.0%. 3) According to classification by receptor system, film-screen types were 46.8%, CR types 26.8%, DR types 17.7% and unknown types 8.9%. 4) The number of examinations were chest 49.2%, spine 16.8% and abdomen 12.7%. 5) Patient doses were head AP 3.44 mGy, abdomen AP 4.25 mGy and chest PA 0.39 mGy.

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