• Journal of the Korean Society of Radiology
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• v.15 no.7
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• pp.1041-1047
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• 2021

In this study, the effective dose for frequently general radiography among the diagnostic reference level (DRL) for examinations provided by the government in Korea was evaluated using the Monte Carlo N-Particle eXtended (MCNPX) simulation tool. We were selected to evaluate for a total of 5 examination sites which included head anterior-posterior, chest (posterior-anterior, lateral), abdomen anterior-posterior and pelvis anterior-posterior. Physical conditions such as tube voltage and tube current used in MCNPX simulation were used in domestic conditions of the Korea Disease Control and Prevention Agency (KDCA). To evaluate domestic medical radiation exposure, we used the HDRK-Man computerized human phantom manufactured based on the international standard ICRP 103 that was applied to the MCNPX simulation. The phantom could represent the standard body shape of Koreans. As a results, the effective dose corresponding to the DRL based on adult males of head anterior-posterior position was 0.086 mSv, chest posterior-anterior position was 0.05 mSv, chest lateral was 0.354 mSv, abdomen anterior-posterior position was 0.548 mSv, and pelvis anterior-posterior position was 0.451 mSv.

• Journal of the Korean Society of Radiology
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• v.10 no.6
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• pp.451-456
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• 2016

Radiation dose to patient is unavoidable when diagnosis is carried out using X-ray. Radiation diagnosis using dual energy X-ray was examined to verify the possibility of medical applications by SNR and image scoring. The dual energy X-ray was realized by combining together two image plates and filter of 0.5 mm thick Cu or Al. Under one X-ray exposure, contrast enhanced image was obtained using two images of image plates. The enhanced image showed higher SNR and image score compared to the first image which was the image recorded with the first image plate. The dual energy X-ray technique would be a very useful method for obtaining higher SNR image and for realizing very low dose, and could be applied to medical applications.

• Journal of radiological science and technology
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• v.45 no.3
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• pp.249-254
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• 2022

The purpose of this study was to examine the importance of proper positioning in chest PA X-ray examination. As a study method, this author searched for and analyzed materials related to chest PA X-ray examination from theses and books that had been published previously to understand the importance of proper positioning in chest PA X-ray examination. Generally, one of the examinations frequently done in most of the hospitals is chest PA X-ray examination. Also, in any kinds of X-ray examination, proper positioning is the most fundamental and definite way to provide accurate information about the patient. Poor positioning in chest PA X-ray examination may jeopardize the diagnosis and treatment, increase social cost due to examination needed to be done additionally, and generate additional radiation exposure unnecessarily above all. In conclusion, it is expected that proper positioning in chest PA X-ray examination will exert positive effects such as the provision of accurate information about the patient, prevention of misdiagnosis, reduction in social cost, and lastly decrease in radiation exposure.

• Journal of the Korean Society of Radiology
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• v.15 no.1
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• pp.71-78
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• 2021

When continuous X-ray are used when acquiring and X-ray image, even the same material may not be accurately represented in the image according to the thickness due to various X-ray energies. To solve this problem, the X-ray energy spectrum was changed to improve the image quality. Using SPEKTR v3.0, an X-ray energy spectrum with an additional filter added and a general X-ray energy spectrum using only a unique filter were obtained. Simulation was performed using the obtained X-ray energy spectrum as a radiation source for Geant4 Application for Tomographic Emission (GATE). Using GATE data, an X-ray image with an additional filter and an image reconstructed from and X-ray image without an additional filter were compared and analyzed through a mono energy image of 74 keV. In the case of using the X-ray energy spectrum without using an additional filter, the amount of X-rays transmitted according to the thickness of the same material is different from the amount that decreases according to the thickness of the material. Similar results were obtained as the amount decreased with the material thickness. In other words, a similar result was obtained when the reduced dose was used with a mono energy. When an X-ray image is obtained by changing an X-ray energy spectrum using an additional filter, a more accurate result of transmission of X-rays may be obtained. In radiological examination, it was confirmed that the appropriate use of the additional filter has a great effect on improving the image quality.

• Journal of the Korean Society of Radiology
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• v.12 no.5
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• pp.651-658
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• 2018

A foot pedal switch in the diagnosis x-ray radiography system has been researched to improve radiologic technologist works and patient satisfaction. The switch has been installed in the diagnosis x-ray radiography system used in domestic clinics. Quantitative evaluation has been conducted by measuring the exposure dose reproducibility test, tube voltage, mAs, and percentage average error. Qualitative evaluation has been conducted by analysis of the radiologic technologists questionnaire. In the quantitative evaluation for the use of the foot pedal switch, the coefficient of variation was less than 0.05 in the exposure dose reproducibility test. In the mAs test, percentage average error of ${\pm}20%$ was measured. There was no problem raised since it meets the all inspection standards of the diagnosis x-ray generator. In the qualitative evaluation, most of the opinions are that it has a clinical value for the foot pedal switch in the diagnosis x-ray radiography system. Therefore, developing the foot pedal switch for the diagnosis x-ray radiography system can improve effectively the rapidity and accuracy of the radiologic technologist work. In addition, it is effective in decreasing the x-ray exposure of patients and increasing satisfaction for the medical service due to reduction of retaking x-ray.

• Journal of radiological science and technology
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• v.45 no.2
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• pp.111-116
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• 2022

In this study, the applicability of machine learning for the development of a simulator for general X-ray examination education is evaluated. To this end, k-nearest neighbor(kNN), support vector machine(SVM) and neural network(NN) classification models are analyzed to present the most suitable model by analyzing the results. Image data was obtained by taking 100 photos each corresponding to Posterior anterior(PA), Posterior anterior oblique(Obl), Lateral(Lat), Fan lateral(Fan lat). 70% of the acquired 400 image data were used as training sets for learning machine learning models and 30% were used as test sets for evaluation. and prediction model was constructed for right-handed PA, Obl, Lat, Fan lat image classification. Based on the data set, after constructing the classification model using the kNN, SVM, and NN models, each model was compared through an error matrix. As a result of the evaluation, the accuracy of kNN was 0.967 area under curve(AUC) was 0.993, and the accuracy of SVM was 0.992 AUC was 1.000. The accuracy of NN was 0.992 and AUC was 0.999, which was slightly lower in kNN, but all three models recorded high accuracy and AUC. In this study, right-handed PA, Obl, Lat, Fan lat images were classified and predicted using the machine learning classification models, kNN, SVM, and NN models. The prediction showed that SVM and NN were the same at 0.992, and AUC was similar at 1.000 and 0.999, indicating that both models showed high predictive power and were applicable to educational simulators.

• Journal of the Korean Society of Radiology
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• v.16 no.4
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• pp.443-451
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• 2022

In this case, non-rheumatic GLA was observed and it was intended to report a case of ultrasound examination. The case patient, a 60-year-old male, visited the emergency room for dyspnea and palpitations. For radiology examination, chest X-ray examination and CT examination were performed, and a giant left atrium was confirmed. Echocardiography was performed to find the cause of the giant left atrium. Echocardiography The size and volume of the left atrium were evaluated by Simpson's method, and the giant left atrium with LVEDVI 6 times larger than that of the general giant left atrium could be evaluated. Also, a giant left atrium in a patient without rheumatic heart disease is evaluated as a very rare case. Since non-rheumatic giant left atrium could be caused by functional mitral regurgitation, diastolic dysfunction. It was confirmed that ultrasonography, which allowed both morphological and hemodynamic examinations, could be a useful case.

• Journal of radiological science and technology
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• v.47 no.1
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• pp.13-19
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• 2024

Control of scattered radiation is one of very important factors in the use of medical radiation. In general X-ray exam, the causes, measurement methods, and the kind of detectors of scattered rays within the radiation area are diverse. In this study, the dose of scattered ray was measured by changing the thickness of the polycarbonate phantom and the tube voltage. As a result of measurement of scattered radiation, the results show that the scattered dose significantly(p<.05) increased with growing of thickness of phantom in the tube voltage 40, 50 and 60 kVp(F(p)<.05, R²>64%). As tube voltage increased at all phantom thicknesses, the scattered dose also significantly(p<.05) increased(F(p)<.05, R²>69%). In cases where a significant correlation was shown, the coefficient of determination of more than 60% was shown in regression analysis. The results of this study can be used as data on scattered radiation dose according to the tube voltage and the object thickness in general X-ray imaging exam.

• Journal of the Korean Society of Radiology
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• v.15 no.5
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• pp.667-673
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• 2021

As we enter the era of the 4th industrial revolution, it is judged that the scope of work of radiologists will be further expanded according to the innovation and advancement of radiation medical technology development. In this study, the current status of medical equipment and radiology technicians was identified, and basic data were provided for the plan for nurturing talents in the field of radiation medical technology in the era of the 4th industrial revolution, as well as career and employment counseling. Data from the second quarter of 2020 and the second quarter of 2021 were analyzed using health and medical big data. As a result of comparing the status of medical equipment by type in 2021 compared to 2020, C-Arm X-ray examination equipment increased by 5.83% to 6,638 units, followed by MRI examination equipment 1,811 units 5.29%, and angiography equipment 725 units 5.22% , general X-ray examination equipment 21,557 units increased 3.99%, CT examination equipment 2,136 units 3.03%, and breast examination equipment 3,425 units increased 3.00%. As a result of a comparison of the total number of radiologists in 2021 compared to 2020, the number was 29,038, an increase of 2.73%. As a result of comparing the status of radiographers by region, the increase was highest in the Gyeonggi region with 5.96%, followed by the Gangwon region with a 5.66% increase and the Chungnam region with a 3.81% increase. In a situation where the number of medical equipment and radiologist manpower is increasing, universities are developing specialized knowledge and practical competency through subject development related to the understanding and utilization of customized artificial intelligence and big data that can be applied in the medical radiation technology field in the era of the 4th industrial revolution. It is necessary to nurture qualified radiographers, and at the level of the association, it is thought that active policies are needed to create new jobs and improve employment.

• Journal of the Korean Society of Radiology
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• v.6 no.6
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• pp.483-487
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• 2012

In 1895, the discovered X-ray is used for not only in this field of medicine wide but also field. The detection of radiation after, people realized the risk of the radiation exposured recommended the principle about the protection of radiation by the part of the effort for lowering the radiation exposure. In this recommendation, all unnecessary radiation exposure have to be prevented by All doses include the protection of radiation, general idea of applicable two kinds of that it has to low maintain. Presently, in the General X-ray room of the clinical, the lead (Pb) was used for the shielding, However, because it had the problem of the lead poisoning which is fatal in the human body, the alternatives was showed. and Among them, the material that it is the tungsten was presented. in this research, the absorbed spectrum according to the thickness in the continuous X-ray energy of the tungsten which is not harmful to the human body through the Monte Carlo simulation, tried to compare with the absorbed spectrum of the lead (Pb). The tungsten confirmed that simulation presumption than result lead in the whole domain that absorbed probability was higher and it is considered that tungsten shows the absorbed efficiency higher than the lead in particularly, 70 keV ~ 90 keV and the tungsten is more useful to the X-ray energy cover of the high energy diagnostic area.