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Effects of Ultrasonic Scanner Setting Parameters on the Quality of Ultrasonic Images (초음파 진단기의 설정 파라미터가 영상의 질에 미치는 효과)

  • Yang, Jeong-Hwa;Lee, Kyung-Sung;Kang, Gwan-Suk;Paeng, Dong-Guk;Choi, Min-Joo
    • The Journal of the Acoustical Society of Korea
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    • v.27 no.2
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    • pp.57-65
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    • 2008
  • Setting parameters of Ultrasonic scanners influence the quality of ultrasonic images. In order to obtain optimized images sonographers need to understand the effects of the setting parameters on ultrasonic images. The present study considered typical four parameters including TGC (Time Gain Control), Gain, Frequency, DR (Dynamic Range). LCS (low contrast sensitivity) was chosen to quantitatively compare the quality of the images. In the present experiment LCS targets of a standard ultrasonic test phantom (539, ATS, USA) were imaged using a clinical ultrasonic scanner (SA-9000 PRIME, Medison, Korea). Altering the settings in the parameters of the ultrasonic scanner, 6 LCS target images (+15 dB, +6 dB, +3 dB, -3 dB, -6 dB, -15 dB) to each setting were obtained, and their LCS values were calculated. The results show that the mean pixel value (LCS) is the highest at the max setting in TGC, mid to max in gain and pen mode in frequency and 40-66 dB in DR. Among all images, the image being the highest in LCS was obtained at the setting of DR 40 dB. It is expected that the results will be of use in setting the parameters when ultrasonically examining masses often clinically found In either solid lesions (similar to +15, +6, +3 dB targets) or cystic lesions (similar to -15, -6, -3 dB targets).

Analyze dosimetry with and without shielding when amplifying scattered rays (산란선 증폭시 차폐체 유무에 따른 선량 분석)

  • Chang Ho Cho;Jeong Lae Kim
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.3
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    • pp.819-825
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    • 2024
  • The reason for recording dose data when using a diagnostic radiation source is to record and manage the dose to healthcare personnel and patients. The purpose of this study was to verify the difference in radiation dose when using diagnostic radiation generating devices and to inform users' awareness of dose reduction through measurement and analysis of dose in situations with and without shielding. The dose analysis of each equipment for two Korean C-arms and two German C-arms showed that the Korean FPD type C-arm had the highest dose value, followed by the German I.I type C-arm, German FPD type C-arm, Korean, and I.I type C-arm. The results of the dose analysis with and without shielding showed that the dose to the human phantom in a normal atmosphere increased by about 2 times due to scattered radiation, but the dose to the human phantom was reduced by about 5 times by wearing a shield (0.5mm/lead apron). More important than the management of radiation dose is the study of how to reduce exposure when using radiation, and since the radiation dose output from different equipment is different, it is necessary to provide dose information with and without shielding.

Analysis of Signal Changes In-stent Thrombus with Variation in Contrast Medium Dilution Rates using Automatic Exposure Control (자동노출제어장치 사용시 조영제 희석 비율 변화에 따른 스텐트 내 혈전 신호 변화 분석)

  • Ji-Yun Kim;Myeong-Ji Kim;Da-Yeon Jung;Ju-Hyung Lee;Yeong-Cheol Heo
    • Journal of the Korean Society of Radiology
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    • v.18 no.5
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    • pp.429-437
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    • 2024
  • The purpose of this study was to analyze changes in thrombus signal within a stent in relation to contrast media dilution ratios during the use of an automatic exposure control (AEC) system. A custom-built flow model phantom was used, with contrast media concentrations increased by 5% increments from 5% to 100%, resulting in a total of 20 variations. The signal intensity(SI) and contrast-to-noise ratio (CNR) of the model vessel, stent, and thrombus were analyzed. The results demonstrated that under no-flow conditions, signal intensity and CNR increased linearly with higher contrast media concentrations. However, under flow conditions, the CNR peaked at concentrations between 60% and 70%. Particularly, in models with thrombi within the stent, the use of undiluted contrast media resulted in the highest CNR, indicating that using undiluted contrast media is effective for detecting thrombi within stents in clinical settings.

A Study on the Appropriate Collimation Size for Dose Reduction in the Thyroid and Breast during Shoulder Anteroposterior Projection with Digital Radiography Systems (디지털 방사선검사 시스템에서 어깨관절 전후방향 검사 시 갑상선과 유방의 선량 저감화를 위한 적절한 조사야 크기에 관한 연구)

  • Sang-Been Lee;Han-Yong Kim;Young-Cheol Joo
    • Journal of the Korean Society of Radiology
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    • v.18 no.5
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    • pp.439-445
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    • 2024
  • This study evaluated adjusting collimation size for shoulder anteroposterior(AP) projection in digital radiography, analyzing its effects on radiation dose and exposure index for the thyroid and breast. It aims to identify the most suitable collimation size for this procedure. A skin dosimeter was used on a chest phantom to measure radiation at the thyroid and breast across four collimation sizes: 17"×17", 12"×10", 10"×8", and 8"×8". entrance surface dose(ESD), dose area product(DAP), entrance skin exposure(ESE), and exposure index(EI) were recorded and compared for each size. Significant reductions in ESD for the thyroid and breast were observed when collimation size was decreased from 17"×17" to 8"×8", with decreases of 94.30% and 99.00% respectively. DAP also desreased by 72.12%. A similar trend was seen when altering the size from the standard 12"×10" to 8"×8", resulting in a decrease in ESD and DAP, but ESE and EI remained largely unchanged. Adopting an 8"×8" collimation size for shoulder AP projection in digital radiography system could significantly reduce radiation exposure to sensitive organs like the thyroid and breast, making it a preferable choice in clinical practice.

Quality Control Using Contrast Scale in Computed Tomography Equipment (전산화단층촬영장치에서 대조도 척도를 이용한 품질관리)

  • Jong-Eon Kim
    • Journal of the Korean Society of Radiology
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    • v.18 no.6
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    • pp.707-713
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    • 2024
  • In CT equipments, the contrast scale changes as the equipment ages. In order to maintain a constant contrast scale in clinical practice, users must perform periodic quality control. In this study, the contrast scale for each effective photon energy was determined and analyzed based on CT slice images of the CT number calibration block in the AAPM CT performance phantom. CT slice images of the CT number calibration block were obtained with five scans each at 80, 100, 120, and 140 kVp X-ray beams. In the 5 CT slice images obtained for each tube voltage, the average CT number of the averages was calculated from the average CT numbers measured by setting the region of interest to water and 5 pins. For water and 5 pins, a linear regression analysis was performed on the average CT number of the averages calculated for each tube voltage versus the line attenuation coefficient for each photon energy, and the photon energies with the largest correlation coefficients of 58.5, 65, 71, and 77 keV were found to be effective photon energies. decided. The line attenuation coefficient used to determine this effective photon energy was automatically determined as the effective linear attenuation coefficient. For the effective photon energy, a linear equation was obtained by linear regression analysis of the average CT number of the averages in water and the five pins versus the difference in effective linear attenuation coefficient between the five pins and water. The contrast scale was determined by taking the slope of the obtained linear equation as the reciprocal. The determined contrast scale is 0.000198 to 0.000177 cm-1 HU-1 in the effective photon energy range of 58.5 to 77 keV. The contrast scale decreased as the effective photon energy increased.

A Study of Equipment Accuracy and Test Precision in Dual Energy X-ray Absorptiometry (골밀도검사의 올바른 질 관리에 따른 임상적용과 해석 -이중 에너지 방사선 흡수법을 중심으로-)

  • Dong, Kyung-Rae;Kim, Ho-Sung;Jung, Woon-Kwan
    • Journal of radiological science and technology
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    • v.31 no.1
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    • pp.17-23
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    • 2008
  • Purpose : Because there is a difference depending on the environment as for an inspection equipment the important part of bone density scan and the precision/accuracy of a tester, the management of quality must be made systematically. The equipment failure caused by overload effect due to the aged equipment and the increase of a patient was made frequently. Thus, the replacement of equipment and additional purchases of new bonedensity equipment caused a compatibility problem in tracking patients. This study wants to know whether the clinical changes of patient's bonedensity can be accurately and precisely reflected when used it compatiblly like the existing equipment after equipment replacement and expansion. Materials and methods : Two equipments of GE Lunar Prodigy Advance(P1 and P2) and the Phantom HOLOGIC Spine Road(HSP) were used to measure equipment precision. Each device scans 20 times so that precision data was acquired from the phantom(Group 1). The precision of a tester was measured by shooting twice the same patient, every 15 members from each of the target equipment in 120 women(average age 48.78, 20-60 years old)(Group 2). In addition, the measurement of the precision of a tester and the cross-calibration data were made by scanning 20 times in each of the equipment using HSP, based on the data obtained from the management of quality using phantom(ASP) every morning (Group 3). The same patient was shot only once in one equipment alternately to make the measurement of the precision of a tester and the cross-calibration data in 120 women(average age 48.78, 20-60 years old)(Group 4). Results : It is steady equipment according to daily Q.C Data with $0.996\;g/cm^2$, change value(%CV) 0.08. The mean${\pm}$SD and a %CV price are ALP in Group 1(P1 : $1.064{\pm}0.002\;g/cm^2$, $%CV=0.190\;g/cm^2$, P2 : $1.061{\pm}0.003\;g/cm^2$, %CV=0.192). The mean${\pm}$SD and a %CV price are P1 : $1.187{\pm}0.002\;g/cm^2$, $%CV=0.164\;g/cm^2$, P2 : $1.198{\pm}0.002\;g/cm^2$, %CV=0.163 in Group 2. The average error${\pm}$2SD and %CV are P1 - (spine: $0.001{\pm}0.03\;g/cm^2$, %CV=0.94, Femur: $0.001{\pm}0.019\;g/cm^2$, %CV=0.96), P2 - (spine: $0.002{\pm}0.018\;g/cm^2$, %CV=0.55, Femur: $0.001{\pm}0.013\;g/cm^2$, %CV=0.48) in Group 3. The average error${\pm}2SD$, %CV, and r value was spine : $0.006{\pm}0.024\;g/cm^2$, %CV=0.86, r=0.995, Femur: $0{\pm}0.014\;g/cm^2$, %CV=0.54, r=0.998 in Group 4. Conclusion: Both LUNAR ASP CV% and HOLOGIC Spine Phantom are included in the normal range of error of ${\pm}2%$ defined in ISCD. BMD measurement keeps a relatively constant value, so showing excellent repeatability. The Phantom has homogeneous characteristics, but it has limitations to reflect the clinical part including variations in patient's body weight or body fat. As a result, it is believed that quality control using Phantom will be useful to check mis-calibration of the equipment used. A value measured a patient two times with one equipment, and that of double-crossed two equipment are all included within 2SD Value in the Bland - Altman Graph compared results of Group 3 with Group 4. The r value of 0.99 or higher in Linear regression analysis(Regression Analysis) indicated high precision and correlation. Therefore, it revealed that two compatible equipment did not affect in tracking the patients. Regular testing equipment and capabilities of a tester, then appropriate calibration will have to be achieved in order to calculate confidential BMD.

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Evaluation of Dose Distributions Recalculated with Per-field Measurement Data under the Condition of Respiratory Motion during IMRT for Liver Cancer (간암 환자의 세기조절방사선치료 시 호흡에 의한 움직임 조건에서 측정된 조사면 별 선량결과를 기반으로 재계산한 체내 선량분포 평가)

  • Song, Ju-Young;Kim, Yong-Hyeob;Jeong, Jae-Uk;Yoon, Mee Sun;Ahn, Sung-Ja;Chung, Woong-Ki;Nam, Taek-Keun
    • Progress in Medical Physics
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    • v.25 no.2
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    • pp.79-88
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    • 2014
  • The dose distributions within the real volumes of tumor targets and critical organs during internal target volume-based intensity-modulated radiation therapy (ITV-IMRT) for liver cancer were recalculated by applying the effects of actual respiratory organ motion, and the dosimetric features were analyzed through comparison with gating IMRT (Gate-IMRT) plan results. The ITV was created using MIM software, and a moving phantom was used to simulate respiratory motion. The doses were recalculated with a 3 dose-volume histogram (3DVH) program based on the per-field data measured with a MapCHECK2 2-dimensional diode detector array. Although a sufficient prescription dose covered the PTV during ITV-IMRT delivery, the dose homogeneity in the PTV was inferior to that with the Gate-IMRT plan. We confirmed that there were higher doses to the organs-at-risk (OARs) with ITV-IMRT, as expected when using an enlarged field, but the increased dose to the spinal cord was not significant and the increased doses to the liver and kidney could be considered as minor when the reinforced constraints were applied during IMRT plan optimization. Because the Gate-IMRT method also has disadvantages such as unsuspected dosimetric variations when applying the gating system and an increased treatment time, it is better to perform a prior analysis of the patient's respiratory condition and the importance and fulfillment of the IMRT plan dose constraints in order to select an optimal IMRT method with which to correct the respiratory organ motional effect.

Active Inferential Processing During Comprehension in Poor Readers (미숙 독자들에 있어 이해 도중의 능동적 추리의 처리)

  • Zoh Myeong-Han;Ahn Jeung-Chan
    • Korean Journal of Cognitive Science
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    • v.17 no.2
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    • pp.75-102
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    • 2006
  • Three experiments were conducted using a verification task to examine good and poor readers' generation of causal inferences(with because sentences) and contrastive inferences(with although sentences). The unfamiliar, critical verification statement was either explicitly mentioned or was implied. In Experiment 1, both good and poor readers responded accurately to the critical statement, suggesting that both groups had the linguistic knowledge necessary to the required inferences. Differences were found, however, in the groups' verification latencies. Poor, but not good, readers responded faster to explicit than to implicit verification statements for both because and although sentences. In Experiment 2, poor readers were induced to generate causal inferences for the because experimental sentences by including fillers that were apparently counterfactual unless a causal inference was made. In Experiment 3, poor readers were induced to generate contrastive inferences for the although sentences by including fillers that could only be resolved by making a contrastive inference. Verification latencies for the critical statements showed that poor readers made causal inferences in Experiment 2 and contrastive inferences in Experiment 3 doting comprehension. These results were discussed in terms of context effect: Specific encoding operations performed on anomaly backgrounded in another passage would form part of the context that guides the ongoing activity in processing potentially relevant subsequent text.

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A Study on the Patient Exposure Doses from the Panoramic Radiography using Dentistry (치과 파노라마 촬영에서 환자의 피폭선량에 관한 연구)

  • Park, Ilwoo;Jeung, Wonkyo;Hwang, Hyungsuk;Lim, Sunghwan;Lee, Daenam;Im, Inchul;Lee, Jaeseung;Park, Hyonghu;Kwak, Byungjoon;Yu, Yunsik
    • Journal of the Korean Society of Radiology
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    • v.7 no.1
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    • pp.17-24
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    • 2013
  • This study estimate radiation biological danger factor by measuring patient's exposed dose and propose the low way of patient's exposed dose in panoramic radiography. We seek correcting constant of OSL dosimeter for minimize the error of exposed dose's measurement and measure the Left, Right crystalline lens, thyroid, directly included upper, lower lips, the maxillary bone and the center of photographing that indirect included in panoramic radiography by using the human body model standard phantom advised in ICRP. In result, the center of photographing's level of radiation maximum value is $413.67{\pm}6.53{\mu}Gy$ and each upper, lower lips is $217.80{\pm}2.98{\mu}Gy$, $215.33{\pm}2.61{\mu}Gy$. Also in panoramic radiography, indirect included Left, Right crystalline lens's level of radiation are $30.73{\pm}2.34{\mu}Gy$, $31.87{\pm}2.50{\mu}Gy$, and thyroid's level of measured exposed dose can cause effect of radiation biological and we need justifiable analysis about radiation defense rule and substantiation advised international organization for the low way of patient's exposed dose in panoramic radiography of dental clinic and we judge need the additional study about radiation defense organization for protect the systematize protocol's finance and around internal organs for minimize until accepted by many people that is technological, economical and social fact by using panoramic measurement.

Evaluation of Ovary Dose for woman of Childbearing age Woman with Breast cancer in tomotherapy (가임기 여성의 유방암 토모치료 시 난소선량 평가비교)

  • Lee, Soo Hyeung;Park, Soo Yeun;Choi, Ji Min;Park, Ju Young;Kim, Jong Suk
    • The Journal of Korean Society for Radiation Therapy
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    • v.26 no.2
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    • pp.337-343
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    • 2014
  • Purpose : The aim of this study is to evaluate unwanted scattered dose to ovary by scattering and leakage generated from treatment fields of Tomotherapy for childbearing woman with breast cancer. Materials and Methods : The radiation treatments plans for left breast cancer were established using Tomotherapy planning system (Tomotherapy, Inc, USA). They were generated by using helical and direct Tomotherapy methods for comparison. The CT images for the planning were scanned with 2.5 mm slice thickness using anthropomorphic phantom (Alderson-Rando phantom, The Phantom Laboratory, USA). The measurement points for the ovary dose were determined at the points laterally 30 cm apart from mid-point of treatment field of the pelvis. The measurements were repeated five times and averaged using glass dosimeters (1.5 mm diameter and 12 mm of length) equipped with low-energy correction filter. The measures dose values were also converted to Organ Equivalent Dose (OED) by the linear exponential dose-response model. Results : Scattered doses of ovary which were measured based on two methods of Tomo helical and Tomo direct showed average of $64.94{\pm}0.84mGy$ and $37.64{\pm}1.20mGy$ in left ovary part and average of $64.38{\pm}1.85mGy$ and $32.96{\pm}1.11mGy$ in right ovary part. This showed when executing Tomotherapy, measured scattered dose of Tomo Helical method which has relatively greater monitor units (MUs) and longer irradiation time are approximately 1.8 times higher than Tomo direct method. Conclusion : Scattered dose of left and right ovary of childbearing women is lower than ICRP recommended does which is not seriously worried level against the infertility and secondary cancer occurrence. However, as breast cancer occurrence ages become younger in the future and radiation therapy using high-precision image guidance equipment like Tomotherapy is developed, clinical follow-up studies about the ovary dose of childbearing women patients would be more required.