• Title/Summary/Keyword: 환자피폭선량

Search Result 445, Processing Time 0.032 seconds

Radiation dose Assesment according to the Adaptive Statistical Iterative Reconstruction Technique of Cardiac Computed Tomography(CT) (심장 CT 검사시 ASIR 적용에 따른 선량 평가)

  • Jang, Hyun-Cheol;Kim, Hyun-Ju;Cho, Jae-Hwan
    • The Journal of the Korea Contents Association
    • /
    • v.11 no.5
    • /
    • pp.252-259
    • /
    • 2011
  • To identify the effects of the application of the adaptive statistical iterative reconstruction (ASIR) technique in combination with the other two factors of body mass Index (BMI) and tube potential on radiation dose in cardiac CT. The patient receiving operation the cardiac CT examination was divided four groups into according to kVp.[A group(n=20), Non-ASIR, BMI < 25, 100 kVp; B group(n=20), Non-ASIR, BMI > 25, 120 kVp; C group(n=20), 40% ASIR BMI < 25, 100 kVp; D group(n=20), 40% ASIR, BMI > 25, 120 kVp] After setting up the region of interest in the main artery central part and right coronary artery and left anterior descending artery, the CT number was measured and an average and standard deviation were analyzed. There were A group and the difference which the image noise notes statistically between C. And A group was high so that the noise could note than C group (group A, 494 ${\pm}$ 32 HU; group C, 482 ${\pm}$ 48 HU: P<0.05) In addition, there were B group and the difference noted statistically between D. And B group was high so that the noise could note than D group (group B, 510 ${\pm}$ 45 HU; group D, 480 ${\pm}$ 82 HU: P<0.05). In the qualitative analysis of an image, there was no difference (p>0.05) which a group, B group, C group, and D as to average, A group 4.13${\pm}$0.2, B group 4.18${\pm}$0.1, and C group 4.1${\pm}$0.2 and D group note statistically altogether with 4.15${\pm}$0.1 as a result of making the clinical evaluation according to the coronary artery segments. And the inappropriate image was shown to the diagnosis in all groups. As to the radiation dose, a group 8.6${\pm}$0.9 and B group 14.9${\pm}$0.4 and C group 5.8${\pm}$0.5 and D group are 10.1${\pm}$0.6 mSv.

Comparison of CT based-CTV plan and CT based-ICRU38 plan in Brachytherapy Planning of Uterine Cervix Cancer (자궁경부암 강내조사 시 CT를 이용한 CTV에 근거한 치료계획과 ICRU 38에 근거한 치료계획의 비교)

  • Cho, Jung-Ken;Han, Tae-Jong
    • Journal of Radiation Protection and Research
    • /
    • v.32 no.3
    • /
    • pp.105-110
    • /
    • 2007
  • Purpose : In spite of recent remarkable improvement of diagnostic imaging modalities such as CT, MRI, and PET and radiation therapy planing systems, ICR plan of uterine cervix cancer, based on recommendation of ICRU38(2D film-based) such as Point A, is still used widely. A 3-dimensional ICR plan based on CT image provides dose-volume histogram(DVH) information of the tumor and normal tissue. In this study, we compared tumor-dose, rectal-dose and bladder-dose through an analysis of DVH between CTV plan and ICRU38 plan based on CT image. Method and Material : We analyzed 11 patients with a cervix cancer who received the ICR of Ir-192 HDR. After 40Gy of external beam radiation therapy, ICR plan was established using PLATO(Nucletron) v.14.2 planing system. CT scan was done to all the patients using CT-simulator(Ultra Z, Philips). We contoured CTV, rectum and bladder on the CT image and established CTV plan which delivers the 100% dose to CTV and ICRU plan which delivers the 100% dose to the point A. Result : The volume$(average{\pm}SD)$ of CTV, rectum and bladder in all of 11 patients is $21.8{\pm}6.6cm^3,\;60.9{\pm}25.0cm^3,\;111.6{\pm}40.1cm^3$ respectively. The volume covered by 100% isodose curve is $126.7{\pm}18.9cm^3$ in ICRU plan and $98.2{\pm}74.5cm^3$ in CTV plan(p=0.0001), respectively. In (On) ICRU planning, $22.0cm^3$ of CTV volume was not covered by 100% isodose curve in one patient whose residual tumor size is greater than 4cm, while more than 100% dose was irradiated unnecessarily to the normal organ of $62.2{\pm}4.8cm^3$ other than the tumor in the remaining 10 patients with a residual tumor less than 4cm in size. Bladder dose recommended by ICRU 38 was $90.1{\pm}21.3%$ and $68.7{\pm}26.6%$ in ICRU plan and in CTV plan respectively(p=0.001) while rectal dose recommended by ICRU 38 was $86.4{\pm}18.3%$ and $76.9{\pm}15.6%$ in ICRU plan and in CTV plan, respectively(p=0.08). Bladder and rectum maximum dose was $137.2{\pm}50.1%,\;101.1{\pm}41.8%$ in ICRU plan and $107.6{\pm}47.9%,\;86.9{\pm}30.8%$ in CTV plan, respectively. Therefore, the radiation dose to normal organ was lower in CTV plan than in ICRU plan. But the normal tissue dose was remarkably higher than a recommended dose in CTV plan in one patient whose residual tumor size was greater than 4cm. The volume of rectum receiving more than 80% isodose (V80rec) was $1.8{\pm}2.4cm^3$ in ICRU plan and $0.7{\pm}1.0cm^3$ in CTV plan(p=0.02). The volume of bladder receiving more than 80% isodose(V80bla) was $12.2{\pm}8.9cm^3$ in ICRU plan and $3.5{\pm}4.1cm^3$ in CTV plan(p=0.005). According to these parameters, CTV plan could also save more normal tissue compared to ICRU38 plan. Conclusion : An unnecessary excessive radiation dose is irradiated to normal tissues within 100% isodose area in the traditional ICRU plan in case of a small size of cervix cancer, but if we use CTV plan based on CT image, the normal tissue dose could be reduced remarkably without a compromise of tumor dose. However, in a large tumor case, we need more research on an effective 3D-planing to reduce the normal tissue dose.

Evaluation of Effective Dose in Dental Radiography (치과 방사선 검사에서 유효선량 평가)

  • Han, Su-Chul;Lee, Bo-Ram;Shin, Gwi-Soon;Choi, Jong-Hak;Park, Hyok;Park, Chang-Seo;Chang, Kye-Yong;Kim, Bo-Ram;Kim, You-Hyun
    • Journal of radiological science and technology
    • /
    • v.34 no.1
    • /
    • pp.27-33
    • /
    • 2011
  • Along with the developments of science technology, up-to-date medical radiation equipments are introduced. Those equipments has brought many progresses in diagnosing patients not only in the quantitative aspects but in the qualitative ones. Especially, in the case of dental radiography, patients can be exposed more than CT, cone beam computed tomography (CBCT). In this study, we used human phantom and TLD-100H to measure the organ dose in each dental radiography and computed the effective dose according to ICRP (International Committee for Radioactivity Prevention) 60, 103. We measured the effective dose to be 5.1 and $29.5{\mu}Sv$ in the panoramic radiography and 11.2 and $14.4{\mu}Sv$ in the cephalometric radiography respectively. We also executed the CBCT and CT test on the maxillaries and the mandibles and found the amounts of effective dose were 53.7, 209.6, 129, and $391.5{\mu}Sv$ respectively in the CBCT and $93.3{\mu}$, 139.5, 282.7 and $489.7{\mu}Sv$ in the CT test. Consequently, it was shown that the effective dose in the CBCT test was lower than one in the CT test, but was higher in both panoramic and cephalometric radiography.

Application of Dual Tree Complex Wavelet for Performance Improvement of CT Images (CT 영상의 화질개선을 위한 이중트리복합웨이블릿의 적용)

  • Choi, Seokyoon
    • Journal of the Korean Society of Radiology
    • /
    • v.13 no.7
    • /
    • pp.941-946
    • /
    • 2019
  • Computed tomography (CT) has been increasing in frequency and indications for use in clinical diagnosis and treatment decisions. Multidetector CT has the advantage of shortening the inspection time and obtaining a high resolution image compared to a single detector CT, but has been pointed out the disadvantage of increasing the radiation exposure. In addition, when the low tube voltage is used to reduce the exposure dose in the CT, noise increases relatively. In the existing method, the method of finding the optimal image quality using the method of adjusting the parameters of the image reconstruction method is not a fundamental measure. In this study, we applied a double-tree complex wavelet algorithm and analyzed the results to maintain the normal signal and remove only noise. Experimental results show that the noise is reduced from 8.53 to 4.51 when using a complex oriented 2D method with 100kVp and 0.5sec rotation time. Through this study, it was possible to remove the noise and reduce the patient dose by using the optimal noise reduction algorithm. The results of this study can be used to reduce the exposure of patients due to the low dose of CT.

Shielding Capability Evaluation of Slit-shaped Structure for Scattered X-ray using Monte Carlo Method (몬테카를로 방법을 이용한 슬릿형태 구조물의 차폐능력 평가)

  • Kim, Sangrok;Heo, Jaeseung
    • Journal of the Korean Society of Radiology
    • /
    • v.14 no.6
    • /
    • pp.733-740
    • /
    • 2020
  • As the use of radiation for medical purposes increases, the exposure dose of medical workers is also increasing. To reduce this dose, various studies on changing the shielding material have been conducted. Recently, a new method to reduce the dose at the entrance of the radiation treatment room was proposed by using the photoelectric effect that occurs when the radiation is scattered. Because this method is particularly effective for low-energy photons, in this study, a slit-type structure was proposed as a excellent shielding structure against scattered x-ray in a general photography room, and was evaluated the shielding effect by Monte Carlo simulation. As a result of the calculation, this study found that in the case of a structure in which steel plates with a thickness of 2 mm and a width of 5 cm are stacked at 2 mm intervals, a shielding effect was approximately 99.9% or more, excluding the heights of the floor and the patient where scattering occurs directly.

The Study on Interpretation of the Scatter Degradation Factor using an additional Filter in a Medical Imaging System (의료 영상 시스템에서 부가 필터를 이용한 산란 열화 인자의 해석에 관한 연구)

  • Kang, Sang Sik;Kim, Kyo Tae;Park, Ji Koon
    • Journal of the Korean Society of Radiology
    • /
    • v.13 no.4
    • /
    • pp.589-596
    • /
    • 2019
  • X-rays used for diagnosis have a continuous energy distribution. However, photons with low energy not only reduce image contrast, but also contribute to the patient's radiation exposure. Therefore, clinics currently use filters made of aluminum. Such filters are advantageous because they can reduce the exposure of the patient to radiation. However, they may have negative effects on imaging quality, as they lead to increases in the scattered dose. In this study, we investigated the effects of the scattered dose generated by an aluminum filter on medical image quality. We used the relative standard deviation and the scatter degradation factor as evaluation indices, as they can be used to quantitatively express the decrease in the degree of contrast in imaging. We verified that the scattered dose generated by the increase in the thickness of the aluminum filter causes degradation of the quality of medical images.

Study on Methods to Improve Image Quality of Abdominal CT Images (복부 CT 영상의 화질 개선 방법에 대한 연구)

  • Seok-Yoon Choi
    • Journal of the Korean Society of Radiology
    • /
    • v.17 no.5
    • /
    • pp.717-723
    • /
    • 2023
  • Liver disease is highly associated with death, and other abdominal diseases are also important causes affecting a person's lifespan, and a CT scan is essential when treating abdominal diseases. High radiation exposure is essential to create images that are good for reading, but managing the patient's radiation exposure is also essential. In this study, a post-processing wavelet algorithm was proposed to improve the image quality of abdominal CT images. Wavelets have the disadvantage of having to set a threshold value depending on the type of input image. Therefore, we experimentally proposed the threshold value of the wavelet and evaluated whether the image quality was effective. As a result of the experiment, the optimal threshold value for abdominal CT images was calculated to be 50. In the case of image 1, noise was improved by 49% and in the case of image 2, by 29%, and the contrast also increased. if the results of this study are applied for post-processing after abdominal CT, image quality can be improved and it will be helpful in disease diagnosis.

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
    • /
    • v.32 no.4
    • /
    • pp.445-451
    • /
    • 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.

  • PDF

TA Study on Patient Exposure Dose Used the Phantom for Interventional Procedure (중재적 시술 시 팬텀을 이용한 환자의 피폭선량 분석)

  • Kang, Byung-Sam;Dong, Kyung-Rae
    • Korean Journal of Digital Imaging in Medicine
    • /
    • v.13 no.2
    • /
    • pp.71-76
    • /
    • 2011
  • Because interventional procedure operates looking at premier as real time when perate intervention enemy, by patient is revealed during suitableness time in radiation, side effect such as radiation injury of skin is apt to happen. It established by purpose of study that measure exposure dose that patient receives about these problem, and find solution for radiation injury and repletion method. In this study, we used Rando phantom of identical structure with the human body which becomes accomplished with 4 branch ingredient of the attempt and system equivalent material them and absorbed dose were measured by TLD. According to the laboratory, it shows that operations such as TFCA procedure or uterine myoma embolization are more dangerous than TACE procedure. If both operations are inspected during a short time, it is not affected in being bombed. However, it can lead to palliative agenesis or depilate, definitive agenesis only if operations are repeated more than three times. Dose distibution based on experiment, to reduce radiation exposure to patients result from reduction of scatter ray as we control field size of radiation and protection of side organs except for tumor. also we knew that we can protect patients form radiation exposure, if we increas SOD and decrease SID.

  • PDF

A Study on Trust and Commitment between Buyer and Supplier of Industrial Parts, and Their Usage of Information Technology (산업재 부품 구매자와 공급자의 신뢰와 몰입, 그리고 정보기술의 이용에 관한 연구)

  • Kim, Jong-Hun;Yun, Hui-Taek
    • Proceedings of the Korean DIstribution Association Conference
    • /
    • 2006.08a
    • /
    • pp.47-68
    • /
    • 2006
  • This study aims to determine the association structure of the behavioral relationship variables, such as trust, commitment, cooperation, communication and coercive power, in the relationship between the buyers and suppliers of industrial parts. It also investigates the impact of the use of IT technologies on the relationships quality. Data was collected from 216 part suppliers of machinery, electronics and automobiles located in Incheon. Data supported all of the proposed hypotheses. First, it was confirmed that parts suppliers' trust in buyers leads to the commitment into relationships with buyers. Second, cooperation and communication showed a positive influence on parts suppliers' trust in buyers, and coercive power gave a negative influence on trust. Third, the use of IT technologies like Internet and E-Mail between parts suppliers and buyers was verified to have generally a positive influence on the quality of relationships. At the same time, cooperation and communication were confirmed to have a positive influence on each other, and cooperation and coercive power as well as communication and coercive power were confirmed to have negative influence on each other. This study is a pioneering attempt to examine the relationships between suppliers and buyers of industrial parts, and the influence IT technologies on the relationship quality. Also, the findings will be practically much helpful to find how to reinforce the relationships between parts suppliers and buyers.

  • PDF