• Title/Summary/Keyword: 전산화단층촬영장비

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Type of medical institutions according to the Equipment List and inspection fee computed tomogaphy relationship between (의료기관 종별에 따른 전산화단층촬영장비 보유현황과 검사료간의 관계)

  • Kim, Min-Cheol;Lim, Cheong-Hwan
    • Proceedings of the Korea Contents Association Conference
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    • 2011.05a
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    • pp.195-196
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    • 2011
  • 1996년 이후부터 전산화단층촬영 검사가 건강보험급여대상이 되면서 이용률과 보급률이 더욱 증가되고 있으며 검사범위의 확대, 검사시간의 단축, 반복검사의 용이성, 이용의 편리성, 결과의 신뢰성, 장치의 구조적인 요소 및 검사 시행 횟수의 증가 등으로 검사량이 증가되고 있는 실정이다. CT 검사 건수의 증가요인으로 새로운 CT장비의 개발과 더불어 급격한 장비도입 증가 추세가 있으므로 이에 본 연구에서는 의료기관 종별 및 시기별 CT 장치 보유현황과 검사료간의 관계를 파악하였다. CT 장비는 병원급은 증가하고 있는 추세이나 의원급은 감소하고 있는 것으로 나타났다. CT진료비 청구는 80%이상이 종합전문요양기관과 종합병원에서 청구하는 것으로 나타났다. 이에 본 연구에서는 고가의료영상 진단 장비인 CT의 세대별 발달장비 도입 시기에 따른 우리나라 CT의 현황을 조사 분석하여 제시하여 고가의료장비 수급의 정책수립의 계기 및 기여하고자 한다.

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Image Quality Evaluation according to the Application of Air Mattress on Computed Tomography Equipment Table (전산화단층촬영장비 테이블의 에어 매트리스 적용에 따른 화질평가)

  • Jeon, Sang-Won;Pak, Jae-Yun;Suh, Tae-Suk
    • Journal of the Korean Society of Radiology
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    • v.14 no.6
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    • pp.819-825
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    • 2020
  • The purpose of this study was to evaluate the usefulness of the developed air mattress for reducing the deterioration of image quality due to the scattered radiation generated on the computed tomography equipment table. 5 cm and 10 cm thick air mattresses were developed and the image quality was measured by scanning the AAPM phantom according to thickness and thickness. Statistical significance was confirmed by One Way Analysis of Variance(ANOVA) Compared with the AAPM phantom scanned in the standard method, the image with the air mattress did not show any difference, but when the air mattress was not applied, the CT number and uniformity were low and the noise was high, and the spatial resolution Respectively. The developed air mattress has no harmful effect on the diagnostic image, it is very effective in improving the image quality and can increase the CT image quality by simply applying Air Mattress to existing equipment without using the technology applied to the latest and high-cost equipment.

A Study on measurement of scattery ray of Computed Tomography (전산화 단층촬영실의 산란선 측정에 대한 연구)

  • Cho, Pyong-Kon;Lee, Joon-Hyup;Kim, Yoon-Sik;Lee, Chang-Yeop
    • Journal of radiological science and technology
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    • v.26 no.2
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    • pp.37-42
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    • 2003
  • Purpose : Computed tomographic equipment is essential for diagnosis by means of radiation. With passage of time and development of science computed tomographic was developed time and again and in future examination by means of this equipment is expected to increase. In this connection these authors measured rate of scatter ray generation at front of lead glass for patients within control room of computed tomographic equipment room and outside of entrance door for exit and entrance of patients and attempted to ind out method for minimizing exposure to scatter ray. Material and Method : From November 2001 twenty five units of computed tomographic equipments which were already installed and operation by 13 general hospitals and university hospitals in Seoul were subjected to this study. As condition of photographing those recommended by manufacturer for measuring exposure to sauter ray was use. At the time objects used DALI CT Radiation Dose Test Phantom fot Head (${\oint}16\;cm$ Plexglas) and Phantom for Stomache(${\oint}32\;cm$ Plexglas) were used. For measurement of scatter ray Reader (Radiation Monitor Controller Model 2026) and G-M Survey were used to Survey Meter of Radical Corporation, model $20{\times}5-1800$, Electrometer/Ion Chamber, S/N 21740. Spots for measurement of scatter ray included front of lead glass for patients within control room of computed tomographic equipment room which is place where most of work by gradiographic personnel are carried out and is outside of entrance door for exit and entrance of patients and their guardians and at spot 100 cm off from isocenter at the time of scanning the object. The results : Work environment within computed tomography room which was installed and under operation by each hospital showed considerable difference depending on circumstances of pertinent hospitals and status of scatter ray was as follows. 1) From isocenter of computed tomographic equipment to lead glass for patients within control room average distance was 377 cm. At that time scatter ray showed diverse distribution from spot where no presence was detected to spot where about 100 mR/week was detected. But it met requirement of weekly tolerance $2.58{\times}10^{-5}\;C/kg$(100 mR/week). 2) From isocenter of computed tomographic equipment to outside of entrance door where patients and their guardians exit and enter was 439 cm in average, At that time scatter ray showed diverse distribution from spot where almost no presence was detected to spot with different level but in most of cases it satisfied requirement of weekly tolerance of $2.58{\times}10^{-6}\;C/kg$(100 mR/week). 3) At the time of scanning object amount of scatter ray at spot with 100 cm distance from isocenter showed considerable difference depending on equipments. Conclusion : Use of computed tomographic equipment as one for generation of radiation for diagnosis is increasing daily. Compared to other general X-ray photographing field of diagnosis is very high but there is a high possibility of exposure to radiation and scatter ray. To be free from scatter ray at computed tomographic equipment room even by slight degree it is essential to secure sufficient space and more effort should be exerted for development of variety of skills to enable maximum photographic image at minimum cost.

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A Study for Reappearance Acording to the Scan Type, the CT Scanning by a Moving Phantom (팬톰을 이용한 전산화 단층촬영방법에 따른 재현성에 대한 고찰)

  • Choi, Jae-Hyock;Jeong, Do-Hyeong;Suk, Choi-Gye;Jang, Yo-Jong;Kim, Jae-Weon;Lee, Hui-Seok
    • The Journal of Korean Society for Radiation Therapy
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    • v.19 no.2
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    • pp.123-129
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    • 2007
  • Purpose: CT scan shows that significant tumor movement occurs in lesions located in the proximity of the heart, diaphragm, and lung hilus. There are differences concerning three kinds of type to get images following the Scan type called Axial, Helical, Cine (4D-CT) mode, when the scanning by CT. To know how each protocol describe accurately, this paper is going to give you reappearance using the moving phantom. Materials and Methods: To reconstruct the movement of superior-inferior and anterior-posterior, the manufactured moving phantom and the motor following breathing were used. To distinguish movement from captured images by CT scanning, a localizer adhered to the marker on the motor. The moving phantom fixed the movement of superior-inferior upon 1.3 cm /1 min. The motor following breathing fixed the movement of anterior-posterior upon 0.2 cm /1 min. After fixing each movement, CT scanning was taken by following the CT protocols. The movement of A localizer and volume-reappearance analyzed by RTP machine. Results: Total volume of a marker was 88.2 $cm^3$ considering movement of superior-inferior. Total volume was 184.3 $cm^3$. Total volume according to each CT scan protocol were 135 $cm^3$ by axial mode, 164.9 $cm^3$ by helical mode, 181.7 $cm^3$ by cine (4D-CT) mode. The most closely describable protocol about moving reappearance was cine mode, the marker attached localizer as well. Conclusion: CT scan should reappear concerning a exact organ-description and target, when the moving organ is being scanned by three kinds of CT protocols. The cine (4D-CT) mode has the advantage of the most highly reconstructible ability of the three protocols in reappearance of the marker using a moving phantom. The marker on the phantom has always regular motion but breathing patients don't move like a phantom. Breathing education and devices setting patients were needed so that images reconstruct breathing as exactly as possible. Users should also consider that an amount of radiation to patients is being bombed.

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A Study into the Effect of the CT Simulation Program on Clinical Education (전산화단층촬영 시뮬레이션 프로그램의 임상교육 효과에 관한 연구)

  • Kim, Yong-Wan;Kim, Jung-Sam;Lee, Kyung-Rok
    • Journal of radiological science and technology
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    • v.32 no.4
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    • pp.445-451
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    • 2009
  • The computed tomography(CT) simulation tool provides virtual experimental environment without using a high cost medical equipment. We made teaching materials for the CT simulation tools and educated the students and entry level of radio-technologists. We divided the experimental objects into two groups; students who took only theoretical classes (group 1) and students who took both theoretical and simulation classes (group 2). The results showed that the group 2 outperformed group 1 significantly, which indicates that the simulation program provides a good educational material for not only students but also radio-technologists.

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Analysis of the Entrance Surface Dose (ESD) and Contrast Usage of Trance Femoral Cerebral Angiography (TFCA) and Cerebral Computed Tomographic Angiography (CCTA) for Cerebrovascular Disease Examining (뇌혈관 질환 검사를 위한 뇌혈관 조영술(TFCA)과 뇌혈관 전산화 단층 촬영 검사(CCTA)의 입사표면선량(ESD) 및 조영제 사용량 분석)

  • Seo, Young-Hyun;Hong, Cheon-Gi;Song, Jong-Nam
    • Journal of the Korean Society of Radiology
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    • v.13 no.4
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    • pp.495-502
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    • 2019
  • A typical cerebrovascular disease among cerebrovascular diseases is vascular diseases such as cerebral infarction, cerebral hemorrhage, cerebral aneurysm, cerebrovascular stenosis. If the disease occurs and causes cerebral damage, it may be difficult to recover completely. So that, Must continue to perform health care through examination early. In particular, Because most cerebrovascular disease examining use radiation equipment and Thus this study was to find out how to select about the optimal examining method and X-ray dose decrease method among different examining method though comparison and analysis for the entrance surface dose (ESD) on cerebrovascular examining with Trance Femoral Cerebral angiography (TFCA) and Cerebral Computed Tomographic Angiography (CCTA). Also, want to find out how to select about the optimal examining method for worried patient that contrast medium side effect though measuring and evaluating for contrast usage. Data were collected from 70 patients (43 males and 27 females) who underwent CCTA at Yeosoo region hospital from June 2018 to December 2018 and 61 patients (34 males and 27 females) who underwent TFCA at Pyeongtaek region hospital from June 2018 to November 2018. ESD analysis method collected retrospective data though M-view and PACS PLUS program, Used contrast usage measuring method did reality measuring method. In the analysis using SPSS, the ESD of TFCA was $245.74{\pm}71.91$, which was $32.05{\pm}7.74$ lower than the dose of $277.79{\pm}79.65$ of CCTA ESD, and statistically significant at t = 3.249, p = 0.017 (p<0.05). As a result of the comparison of the total amount of contrast agent, the mean contrast agent used in TFCA was $55.05{\pm}17.68ml$, which was about 14.95 smaller than the amount of contrast agent used in CCTA, and statistically significant t = -4.548, p<0.001. In conclusion, the ESD of TFCA was statistically significantly lower than that of CCTA, and also the used contrast usage was significantly tiny than that of CCTA. Therefore, Select the method to increase the utilization of TFCA for cerebral disease examining, we can consider X-ray dose decrease method at the same time as to decrease side effect of contrast medium.

A Study on the Adequacy Awareness of Computed Tomography Equipment Quality Control (전산화단층촬영장비 정도관리의 적정 인지도에 관한 연구)

  • Kim, Gyoo Hyung;Lim, Cheong Hwan;Kim, Ki Jeong
    • Journal of radiological science and technology
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    • v.42 no.1
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    • pp.31-37
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    • 2019
  • Investigate the adequacy awareness of accuracy control of CT apparatus Questionnaire survey and statistical analysis in the analysis according to age, there is a difference between familiarity with accuracy management items (F = 14.187, p<0.001) and necessity of accuracy control (F=8.109, p<0.001), depending on academic background and work history, There is a difference only in familiarity (F=5.103, p<0.05, F=13.394, p<0.001), and according to the scale of the medical institution analysis shows that if you are more interested than senior general hospital grade hospital grade or less It was analyzed. In order to advance the accuracy control level, we have introduced our comprehensive and efficient comprehensive and efficient integrated medical image quality management operation system of the whole medical image equipment including CT device, It is thought that it is necessary to develop human resources capable of doing.

Case Study of Quality Assurance for MDCT Image Quality Evaluation Using AAPM CT Performance Phantom (AAPM CT 성능 평가용 팬텀을 이용한 전산화단층촬영의 영상 평가를 위한 정도관리 사례 연구)

  • Jang, Keun-Jo;Kweon, Dae-Cheol
    • The Journal of the Korea Contents Association
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    • v.7 no.7
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    • pp.114-123
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    • 2007
  • The increasing use of computed tomography (CT) as a diagnostic tool creates the need from and efficient means of evaluating the performance of the CT scanner now in use. Accordingly, acceptance testing and quality assurance of CT is of great importance. The aim of this study is to analyze of AAPM CT performance phantom in the CT accreditation program. The modular phantom offers the CT system with which to measure eight performance parameters. The parameters are listed of CT attenuation coefficient of water, noise, uniformity, spatial resolution, contrast resolution, slice thickness (5 and 10 mm), artifacts and alignment. The phantom evaluation was done by two radiologists. The acceptance testing protocol described here in demonstrates the successful of the guidelines for the quality assurance using AAPM CT performance phantom. We need to be upgraded for the CT image quality and make the standard reference of the quality assurance in the CT.

Measurement of Space Dose Distribution during Exposure Micro Computed Tomography (μ-CT) for Scattering Rays (Micro-CT 촬영 시 발생되는 산란선에 관한 공간선량률 측정)

  • Jung, Hongmoon;Won, Doyeon;Kwon, Taegeon;Jung, Jaeeun
    • Journal of the Korean Society of Radiology
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    • v.7 no.1
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    • pp.45-50
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    • 2013
  • Non-invasive technique CT, called automated computed tomography, is used to detect lesion of a patient when diagnosing human body. Information obtained from CT plays an important role in assembling 3 dimensional images. Recently, new equipment, operated by CT, is required which can be appliable to physical and biological research. In accordance to this quest, micro-CT is invented that produce more detail and concrete information. Images supplied by CT are even more detailed and concrete, so it contributes much to the development of biology and polymer material engineering field. However, there has been little reliable reports regarding measuring information of space dose distribution about exposure dose limit of users operating micro-CT. In addition, little reports regarding space dose distribution of exposure has been known about unwanted diffraction light produced by usage of micro-CT. The exterior of micro-CT is covered by lead, which is for removing exposure of diffraction light. Thus, even if it is good enough to prevent exposure of diffraction light, consistent management of equipment will be required as time goes by and equipment are getting old as well. We measured space dose distribution regarding exposure of diffraction light of users operating micro-CT directly. Therefore, we suggest that proper management should be necessary for users operating micro-CT not to be exposed by unwanted diffraction light.

Evaluation of Dose Reduction and Maintaining Image Quality according to Exposure Factors of Cone Beam Computed Tomography (콘빔전산화단층촬영에서 노출 조건에 따른 화질 유지 및 선량 감소에 대한 평가)

  • Han, Jin-Woo
    • Journal of the Korean Society of Radiology
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    • v.14 no.4
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    • pp.353-360
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    • 2020
  • This research aims at suggesting exposure condition that shows maintaining the value of the physical image quality factor by decreasing tube voltage and tube current from the standard exposure condition(80 kV, 7 mA) of a CBCT apparatus. To measure the value of the physical image quality factor, modular transfer function(MTF) was analyzed and dose-area product(DAP) was used for the measurement of exposure dose. CBCT images of a Sedentex IQ phantom were obtained under 15 exposure conditions of different combination of tube voltage(80, 78, 76 kV) and tube current(7, 6, 5, 4, 3 mA) and MTF 10 was calculated under each exposure conditions. There were no significant differences in MTF 10 under 80 kV-6 mA, 80 kV-5 mA exposure conditions in comparison with standard exposure condition. Based on the results of this research, 80 kV-5 mA condition are expected to be able to reduce exposure dose with maintaining the value of the physical image quality factor of the standard exposure condition.