• Journal of radiological science and technology
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• v.35 no.4
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• pp.293-298
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• 2012

In digital mammography, Exposure factor were automatically chosen using by measurement breast thickness and the density of mammary gland. It may cause a increase glandular dose. The purpose of this study was to investigate optimal image quality in digital magnification mammography to decrease radiation exposure of patient dose. Auto mode gives the best image quality however, AGD showed better image quality. Image quality of manual mode passed phantom test and SNR at 55% mAs of auto mode commonly used in the digital magnification mammography. Also it could reduce AGD. According to result, manual mode may reduce the unnecessary radiation exposure in digital magnification mammography.

• The Journal of the Korea Contents Association
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• v.9 no.4
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• pp.228-235
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• 2009

As we recognize the health care, test of BMD is increased. There are various methods in BMD, Dual Energy X-ray absorptiometry (DEXA) which has high precision and accuracy, and low medical exposure dose has been widely used. To measure the changes of BMD, the test must be done as same posture at first and follow up study performed a year. we analyze the difference in the hour taken before and after the examination by radiologic technologist, frequency of scout scan, and the amount of the radiation exposure. The hour of the examination and frequency of the scout scan were shorten and the dose of the radiation exposure is reduced. As the numerical value of total subjects is converted into that of one person, the duration for the test was 52 seconds, the frequency for the scout scan 0.79 time, and the dose for the radiation exposure $13{\mu}Sv$. When the health care provider perform the precise and easy methods to minimize changes of posture and the skillful ability to manage the test, useless radiation is decreased.

• Journal of Radiation Protection and Research
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• v.37 no.1
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• pp.25-34
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• 2012

To know which parameters were acceptable for achieving lowest radiation exposure to the patients and highest image quality at the diagnostic X-ray radiography, we measured the patient radiation dose and image quality in transmitted PACS (Picture Archiving and Communication System) at variable combinations of the added filters. As a result, the Dose Area Product (DAP: $mGy{\cdot}cm^2$) and Entrance Surface Doses (ESDs: $mGy$) was lowest at 1 mmAl + 0.2 mmCu and highest at 0 mmAl. The histogram of the image quality by transmitted PACS was not significantly different at variable combinations of exposure parameters on the MATLAB. In conclusion, this study can be helpful for expecting radiation dose-exposure and control exposure parameters for the diagnostic X-ray radiography.

• Journal of radiological science and technology
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• v.28 no.3
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• pp.241-248
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• 2005

X-ray examinations represent the largest man-made source of radiation exposure for the population. The need for standardization of radiation exposures has been suggested and the guidance levels for various radiographic and radioisotope examinations has been proposed by the International Atomic Energy Aency(IAEA) as a safety standard. In many countries, the situation of medical radiographic exposures in each country should be researched before the appropriate guidance level is established. In this study, measurements of entrance surface dose, dose-area product(DAP), computed tomograghic dose index(CTDI) and mean glandular dose(MGD) were carried out in patients who underwent routine x-ray examinations, fluoroscopy, computed tomograghy and mamography in Korea. These measured quantities were compared with the results from the calculation method in previous study. And we suggested diagnostic reference levels in medical imaging in Korea.

• Journal of radiological science and technology
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• v.30 no.4
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• pp.435-442
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• 2007

The number of thyroid diseases treated with radioiodine(I-131) is increasing steadily. The sharp increase in patients who require high dose radioiodine therapy greatly increased the need for new therapy rooms. Accordingly, interest in radiation exposure is rising as well, and is a major psychological stress factor for the patient and those who come in close contact with the patient. This study aimed to minimize the radiation exposure on discharge. Based on various previous reports, the decision for discharge should be individualized depending on many factors related to the patient's living or working environment. Educating patients repeatedly on the importance of sufficient oral hydration, while the adequate amount was relative to the patient's individual condition, greatly lowered the detected radiation measurement within the same admission period. In some cases, the period of admission could be abbreviated.

• Journal of the Korean Society of Radiology
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• v.10 no.3
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• pp.181-186
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• 2016

Cardiac angiography(CA) or cardiac intervention(CI) is one of the major examination methods applied to the detection of cardiovascular diseases using X-rays. These CA and CI procedures require radiation exposure to patients and physicians. We evaluated the radiation dose to cardiac operator during the each case of CA and CI procedures. The number of patients is 113 patients in CA and 34 patients in CI. Mean fluoroscopy time, mean cine time, and mean total cumulative dose area product(DAP) in patients during CA and CI was 165.9 sec vs. 1200.0 sec, 30.31 sec vs 107.5 sec, and $37130.3mGy.cm^2$ vs $213312.6mGy.cm^2$, respectively. Mean dose of thyroid, over chest apron and under chest apron in operator during CA and CI was 15.84 uSv vs 89.81 uSv, 20.16 uSv vs 123.20 uSv, and 0.30 uSv vs 2.40 uSv, respectively. Mean effective dose of operator during CI was about 6 times greater than during CA. Also there was significant inter-relationship between fluoroscopy or cine time and effective dose in operator during CA and CI(p=0.001 and p=0.001, respectively).

• Journal of radiological science and technology
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• v.27 no.4
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• pp.55-60
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• 2004

The purpose of this study was to examine both patient exposure dose during mammography and the utility status of mammograpy equipments. The data of this study were collected through questionnaire survey for 278 medical facilities registered at Korean Hospital Association and finally 161 medical facilities's data were analyzed. According to data analysis, medical facilities of 14.9% used the average glandular dose of less than 0.5 mGy, $0.51{\sim}1.0\;mGy$ 8.6%, $1.01{\sim}1.5\;mGy$ 14.9%, $1.51{\sim}2.0\;mGy$ 11.1%, $2.01{\sim}2.5\;mGy$ 9.8%, $2.51{\sim}3.0\;mGy$ 33.3%, and 7.4% more than 3.01 mGy. It was found that medical facilities of 92.6% used less than 3 mGy, showing that this figure is similar to the limit value of 3 mGy recommended by Korea Food & Drug Administration(KFDA). Recently, international organizations such as ICRP associated with radiation protection suggests that less than 3 mGy of average mammary gland dose be used during mammography in case of using Mo target+Mo filter, film/screen system and craniocaudal projection with the breast pressed to 4.2 cm. The standard dose is being strictly observed and that of the limits is going down to 2 mGy or 1.5 mGy. The major results of this study indicate that interests and a counterplan to reduce patient dose during mammography should be considered. Based on this study, the authors of this study will continue to measure exposure dose to set a new standard for patient exposure dose during mammography.

• 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.

• Journal of the Korean Society of Radiology
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• v.13 no.5
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• pp.683-689
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• 2019

We are trying to evaluate usefulness of Wide Coverage Volume Axial Mode by comparing and analyzing for exposure doses to patients and video quality extracted from two materials. First material is a computer tomography scanning of paediatric cardiac made by using High Pitch Mode, which is designed for diagnosing Congenital cardiac diseases. Second material is computer tomography scanning of paediatric cardiac made by using Wide Coverage Volume Axial Mode. When we did computer tomography scanning of paediatric cardiac, we used High Pitch Mode and Wide Coverage Volume Axial Mode to 50 patients of each, overall 100 patients. Also, we compared exposure doses to patients using videos got from each protocol. Then we compared video quality by calculating SNR and CNR by setting ROI of each. Not only exposure doses to patients were reduced by 13.07 %, but also SNR and CNR were improved when testing used Wide Coverage Volume Axial Mode rather than using High Pitch Mode. Wide Coverage Volume Axial Mode reduced testing time by using high-speed scanner. Furthermore, we can find out that Wide Coverage Volume Axial Mode is an useful method through improving video quality and reducing exposure doses to patients than using High Pitch Mode from ASiR-V, which is low-dose technology.

• Journal of Radiation Protection and Research
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• v.27 no.1
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• pp.1-10
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• 2002

High energy photon beams from medical linear accelerators produce large scattered radiation by various components of the treatment head, collimator and walls or objects in the treatment room including the patient. These scattered radiation do not provide therapeutic dose and are considered a hazard from the radiation safety perspective. Scattered dose of therapeutic high energy radiation beams are contributed significant unwanted dose to the patient. ICRP take the position that a dose of 500mGy may cause abortion at any stage of pregnancy and that radiation detriment to the fetus includes risk of mental retardation with a possible threshold in the dose response relationship around 100 mGy for the gestational period. The ICRP principle of as low as reasonably achievable (ALARA) was recommended for protection of occupation upon the linear no-threshold dose response hypothesis for cancer induction. We suggest this ALARA principle be applied to the fetus and testicle in therapeutic treatment. Radiation dose outside a photon treatment filed is mostly due to scattered photons. This scattered dose is a function of the distance from the beam edge, treatment geometry, primary photon energy, and depth in the patient. The need for effective shielding of the fetus and testicle is reinforced when young patients ate treated with external beam radiation therapy and then shielding designed to reduce the scattered photon dose to normal organs have to considered. Irradiation was performed in phantom using high energy photon beams produced by a Varian 2100C/D medical linear accelerator (Varian Oncology Systems, Palo Alto, CA) located at the Yonsei Cancer Center. The composite phantom used was comprised of a commercially available anthropomorphic Rando phantom (Phantom Laboratory Inc., Salem, YN) and a rectangular solid polystyrene phantom of dimensions $30cm{\times}30cm{\times}20cm$. the anthropomorphic Rando phantom represents an average man made from tissue equivalent materials that is transected into transverse 36 slices of 2.5cm thickness. Photon dose was measured using a Capintec PR-06C ionization chamber with Capintec 192 electrometer (Capintec Inc., Ramsey, NJ), TLD( VICTOREEN 5000. LiF) and film dosimetry V-Omat, Kodak). In case of fetus, the dosimeter was placed at a depth of loom in this phantom at 100cm source to axis distance and located centrally 15cm from the inferior edge of the $30cm{\times}30cm^2$ x-ray beam irradiating the Rando phantom chest wall. A acryl bridge of size $40cm{\times}40cm^2$ and a clear space of about 20 cm was fabricated and placed on top of the rectangular polystyrene phantom representing the abdomen of the patient. The leaf pot for testicle shielding was made as various shape, sizes, thickness and supporting stand. The scattered photon with and without shielding were measured at the representative position of the fetus and testicle. Measurement of radiation scattered dose outside fields and critical organs, like fetus position and testicle region, from chest or pelvic irradiation by large fie]d of high energy radiation beam was performed using an ionization chamber and film dosimetry. The scattered doses outside field were measured 5 - 10% of maximum doses in fields and exponentially decrease from field margins. The scattered photon dose received the fetus and testicle from thorax field irradiation was measured about 1 mGy/Gy of photon treatment dose. Shielding construction to reduce this scattered dose was investigated using lead sheet and blocks. Lead pot shield for testicle reduced the scatter dose under 10 mGy when photon beam of 60 Gy was irradiated in abdomen region. The scattered photon dose is reduced when the lead shield was used while the no significant reduction of scattered photon dose was observed and 2-3 mm lead sheets refuted the skin dose under 80% and almost electron contamination. The results indicate that it was possible to improve shielding to reduce scattered photon for fetus and testicle when a young patients were treated with a high energy photon beam.