• The Journal of the Korea Contents Association
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• v.16 no.8
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• pp.592-600
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• 2016

AAPM CT performance for special medical equipment quality control checks using a standard phantom for evaluation, using the evaluator's subjective assessment as to minimize errors due computerized assessment program to evaluate their usefulness. Phantom for evaluation AAPM CT Performance Phantom: was used, the default shooting conditions are the same as quality control checks. And, we use IMAGE J to evaluate the program. Quantitative evaluation with CT attenuation coefficient and the noise measurement, the uniformity measurement, the slice thickness measurement, contrast resolution of the measurement, a phantom image of the spatial resolution determined by the evaluation program is evaluated as self-extracting the result after processing the image, CT uniformity measurement for the evaluation that was smaller and the standard deviation of a video image processing more uniform slice thickness measurements it is difficult to evaluate due to the difference of the ratio of the measured value of the phantom image. Contrast resolution was measured cylindrical diameter 6th evaluate the shape of a circle obtained a mean value and a standard deviation of diameters, the spatial resolution of the group of source, including acceptance criteria automatically extracted result as a result of both the number of the extracted circularIt appeared. Evaluate the source image and video processing, and video to qualitative evaluation by gross were processed video image is shown excellent results. If the evaluators in order to minimize the errors of subjective judgment based on the results of the above should be done with a quantitative evaluation and qualitative evaluation utilizes a computerized assessment program is considered that further evaluation be made more efficient.

• Journal of the Korean Society of Radiology
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• v.6 no.3
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• pp.217-226
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• 2012

This study examines image quality of medical image after compression using JPEG2000 for AAPM CT Performance Phantom in PACS. The compressed images of 15:1 showed change of 1.93% and 0.81% in the CT number of water and the slice thickness, respectively, compared to the original images. The variation of the uniformity did not give a correlation for each measured area. In noise measurements at compressions of 10:1 and 15:1, changes of 1.47% to 10.99% were observed, respectively. The noise showed incremation tendency as increasing over the compression ratio 15:1, and the noise of 81.68% was measured at a compression of 40:1. CT number, uniformity, slice thickness, spatial resolution and contrast resolution for the compressed images were slightly changed by increasing the compression ratio. However, the noise was seriously changed relatively at the compressed images. Thus the noise was a important factor to determine the compression ration. A compression ratio of 10:1 for the AAPM CT Performance Phantom image was appropriate and could be applied to diagnostic images.

• Journal of radiological science and technology
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• v.41 no.6
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• pp.595-602
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• 2018

Quality control (QC) of Computed Tomography (CT) devices is based on image quality measurement on AAPM CT phantom which is a standard phantom. Although it is possible to control the accuracy of the CT apparatus, it is expensive and has a disadvantage of low penetration rate. Therefore, in this study, we make image quality measurement phantom at low cost using FFF (Fused Filament Fabrication) type three-dimensional printer and try to analyze the usefulness, compare it with existing standard phantom. To print a phantom, We used three-dimensional printer of the FFF system and PLA (Poly Lactic Acid, density: $1.24g/cm^3$) filament, and the CT device of 64 MDCT (Aquilion CX, Toshiba, Japan). In addition, we printed a phantom using three-dimensional printer after design using various tool based on existing standard phantom. For image quality evaluation, AAPM CT phantom and self-generated phantom were measured 10 times for each block. The measured data were analyzed for significance using the Mannwhiteney U-test of SPSS (Version 22.0, SPSS, Chicago, IL, USA). As a result of the analysis, phantom fabricated with three-dimensional printer and standard phantom showed no significant difference (p>0.05). Furthermore, we confirmed that image quality measurement performance of a phantom using three-dimensional printer is similar to the existing standard phantom. In conclusion, we confirmed the possibility of low cost phantom fabrication using three dimensional printer.

• The Korean Journal of Nuclear Medicine Technology
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• v.17 no.2
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• pp.67-71
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• 2013

Purpose: The Change of CT exposure condition have a effect on image quality and patient exposure dose. In this study, we evaluated effect CT image quality and SUV when CT parameters (Pitch, Rotation time) were changed. Materials and Methods: Discovery Ste (GE, USA) was used as a PET/CT scanner. Using GE QA Phantom and AAPM CT Performance Phantom for evaluate Noise of CT image. Images are acquired by using 24 combinations that four stages pitch (0.562, 0.938, 1.375, 1.75:1) and six stages X-ray tube rotation time (0.5s-1.0s). PET images are acquired using 1994 NEMA PET Phantom ($^{18}F-FDG$ 5.3 kBq/mL, 2.5 min/frame). For noise test, noise are evaluated by standard deviation of each image's CT numbers. And then we used expectation noise according to change of DLP (Dose Length Product) to experimental noise ratio for index of effectiveness. For spatial resolution test, we confirmed that it is possible to identify to 1.0 mm size of the holes at the AAPM CT Performance Phantom. Finally we evaluated each 24 image's SUV. Results: Noise efficiency were 1.00, 1.03, 1.01, 0.96 and 1.00, 1.04, 1.02, 0.97 when pitch changes at the QA Phantom and AAPM Phantom. In case of X-ray tube rotation time changes, 0.99, 1.02, 1.00, 1.00, 0.99, 0.99 and 1.01, 1.01, 0.99, 1.01, 1.01, 1.01 at the QA Phantom and AAPM Phantom. We could identify 1.0 mm size of the holes all 24 images. Also, there were no significant change of SUV and all image's average SUV were 1.1. Conclusion: 1.75:1 pitch is the most effective value at the CT image evaluation according to pitch change and It doesn't affect to the spatial resolution and SUV. However, the change of rotation time doesn't affect anything. So, we recommend to use the effective pitch like 1.75:1 and adequate X-ray tube rotation time according to patient size.

• 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.

• Journal of the Korean Society of Radiology
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• v.16 no.6
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• pp.771-778
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• 2022

The purpose of this study is to present a method of measuring noise by the percentage of effective line attenuation coefficient of water that can be used for quality control of CT image noise using AAPM CT performance phantom in clinical practice. In the CT images obtained by scanning the AAPM CT performance phantom with a 120 kVp CT X-ray beam, the mean CT number was measured for each pin and water in the CT number linearity insert part. The effective energy was determined as the photon energy with the largest correlation coefficient from the correlation coefficients of the linear regression analysis of the measured mean CT number for each pin and water and the linear attenuation coefficient for each photon energy. And for water and acrylic, the contrast scale was calculated as 0.000188 cm^-1 · HU^-1 from the measured mean CT number and effective line attenuation coefficient. Using the calculated contrast scale, the effective line attenuation coefficient of water, and the standard deviation measured in the water of the alignment pin part of the AAPM CT performance phantom, The noise measurement value by the percentage of effective line attenuation coefficient of water obtained 0.31 ~ 0.52% in the range of 100 ~ 300 mAs.

• 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.

• Journal of the Institute of Electronics and Information Engineers
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• v.51 no.12
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• pp.163-173
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• 2014

When evaluating the spatial resolution images and evaluation of low contrast resolution using CT standard phantom, and might present a automated quantitative evaluation method for minimizing errors by subjective judgment of the evaluator be, and try to evaluate the usefulness. 120kVp and 250mAs, 10mm collimation, SFOV(scan field of view) of 25cm or more than, exposure conditions DFOV(display field of view) of 25cm, and were evaluated the 24 passing images and 20 failing images taken using a standard reconstruction algorithm by using the Nuclear Associates, Inc. AAPM CT Performance Phantom(Model 76-410). Quantitative evaluation of low contrast resolution and spatial resolution was using an evaluation program that was self-developed using the company Mathwork Matlab(Ver. 7.6. (R2008a)) software. In this study, the results were evaluated using the evaluation program that was self-developed in the evaluation of images using CT standard phantom, it was possible to evaluate an objective numerical qualitative evaluation item. First, if the contrast resolution, if EI is 0.50, 0.51, 0.52, 0.53, as a result of evaluating quantitatively the results were evaluated qualitatively match. Second, if CNR is -0.0018~-0.0010, as a result of evaluating quantitatively the results were evaluated qualitatively match. Third, if the spatial resolution, as a result of using a image segmentation technique, and automatically extract the contour boundary of the hole, as a result of evaluating quantitatively the results were evaluated qualitatively match.

• Journal of the Korean Society of Radiology
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• v.10 no.6
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• pp.419-425
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• 2016

The purpose of this study is to produce a shielding material to reduce a dose on the genital gland, one of the superficial organs, at a CT scan on the whole abdomen and hardly affect picture quality and examine its utility. This research made 22 mm silicone and 7.3 mm aluminum having the similar material quality and effect of previous bismuth. By using the non-shield, bismuth, 22 mm silicone, and 7.3 mm aluminum shielding materials, this author conducted a comparative experiment measuring the decay rate of the genital gland's exposure to radiation, change of the CT number and noise in the image, and the CT number, noise, and uniformity in the AAPM phantom. According to the results, exposure to radiation is reduced in bismuth as 29.96%, silicone 22 mm as 13.10%, and 7.3 mm aluminum as 18.27%. In bismuth, however, the image's CT number varies a lot, and uniformity is measured to be inappropriate in the AAPM phantom scan; therefore, it indicates great change in terms of picture quality in superficial organs like the genital gland. Concerning superficial organs like the genital gland, if 22 mm silicone and 7.3 mm aluminum are used as shielding materials, it will be helpful in reducing variation in picture quality and also decreasing radiation exposure to radiation.

• The Korean Journal of Nuclear Medicine Technology
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• v.17 no.2
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• pp.15-24
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• 2013

Purpose: With the demand of SPECT/CT increasing, the interest in complex diagnostic information of CT is rising along with the expansion of various studies on potential performance value. But the study on reduction of exposure dose generated by CT is not being conducted enough. Therefore, in this study, the goal is to identify how much dose reduction exists when performing the extremity bone SPECT/CT using the flat-panel CT. Materials and Methods: The extremity bone SPECT/CT was performed with two equipments -BrightView XCT (Philips Healthcare, Cleveland, USA) and Brilliance 16 CT (Philips Healthcare, Cleveland, USA)-to identify the exposed dose and image quality resulted by changing scan parameter (mAs) applying for both equipment respectively. The noise value of image and spatial resolution were measured with AAPM CT phantom. Tube voltage (kVp) was fixed to 120 kVp, tube current (mAs) calculated at different mA (20, 30, 40, 50, 60, 70, 80) was applied to both equipments respectively. DLP (dose length product) were calculated at the same distance at respective mAs. Also, we acquired images and % contrast with NEMA IEC body phantom to confirm the effect on image. The output of statistics was analyzed by SPSS ver.18. Results: Regarding AAPM phantom, the noise decreased as the tube current (mAs) increased and flat-panel had less noise than Helical CT. This difference increased at lower dose exposure. As to the evaluation of spatial resolution, we can differentiate the space up to 0.75 mm with both equipments. With scan parameter (mA) growing, the value of DLP increased up to 54-216 mGy cm at flat-panel CT and up to 177-709 mGy cm at Helical CT. Regarding NEMA IEC body phantom, same sphere with varied parameter (mA) shows that similar results. Conclusion: There is no significant differences of image quality in both flat-panel and Helical CT when the scan parameter (mA) is changed respectively. Moreover, we can identify the reduction of exposure dose and confirm %contrast analysis value with maintaining image quality. Therefore, at the extremity bone SPECT/CT requiring high spital resolution without the wide ROI, the flat-panel CT is considered to be more useful and it expected to result in the similar image quality with lower exposure dose compared to Helical CT. Additionally, through this study, we expect to help the reduction of the unnecessary exposure dose.