• Journal of the Korean Society of Radiology
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• v.14 no.2
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• pp.169-178
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• 2020

The number of CT scans is increasing every year due to the improvement of the medical standards of the public, and thus the annual dose of medical radiation is also increasing. In this study, we evaluated the effective dose of the human body exposed to CT scans and estimated LAR. First, five region were selected from the CT diagnostic reference level guideline, and the effective dose of human body exposed to each examination was evaluated by clinical CT device. Second, the human organs and effective dose were calculated using the ALARA-CT program under the same conditions. Third, lifetime attributable risk (LAR) estimated by the effective dose exposed through the previous CT scan was estimated. As a result, the most effective dose was 21.18 mSv during the abdomen 4 phase scan, and the dose level was below DRL for all other tests except for the abdominal examination. As a result of evaluating effective dose using a dose calculation program under the same conditions, the results showed about 1.1 to 1.9 times higher results for each examination. In the case of organ dose, the closer the organ to the scan site, the higher the scattering ray. The lifetime attributable risk to CT radiation dose in adults was gradually decreased with age, and the results were somewhat different according to gender.

• Journal of the Korean Society of Radiology
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• v.12 no.6
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• pp.785-791
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• 2018

Recently, Disk array is widely used as a long term storage device in PACS, but reliability is not enough in relation to annual failure rate of disk. Between October 2016 and February 2017, we scanned the serial port of the hard disk while reading or storing medical images on a PACS reader. The data rate was calculated from the data stored in HDD 99ea that were used in the PCAS image storage device and in HDD 101ea that were used in the Personal Computer. When a CT image was read from a PACS reader, Reading was 87.8% and Writing was 12.2% in units of several tens of megabytes or less. When the CT image was stored in the PACS reader, Reading was 11.4% and Writing was 88.6% in units of several tens of megabytes or less. While reading the excel file on the personal computer, Reading was 75% and Writing was 25% in less than 3 MB, and In the process of storing the excel file on the personal computer, Reading was carried out by 38% and Writing was carreid out 62% in the units of 3 MB or less. The transfer rate of the hard disk used in the PACS image storage device was 10 GB/h, and the transfer rate per hour of the hard disk of the personal computer was 5 GB / h. Annual failure rate of hard disk of image storage system is 0.97 ~ 1.13%, Annual failure rate of Hard Disk of personal computer is 0.97 ~ 1.13%. the higher transfer rate is, the higher annual failure rate is. These results will be used as a basis for predicting the life expectancy of the hard disk and the annual failure rate.

• Journal of the Korean Society of Radiology
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• v.15 no.1
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• pp.21-28
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• 2021

Computed tomography (CT) has the problem of having more radiation exposure compared to other radiographic apparatus. There is a low-dose imaging technique for reducing exposure, but it has a disadvantage of increasing noise in the image. To compensate for this, various noise reduction algorithms have been developed that improve image quality while reducing the exposure dose of patients, of which the median modified Wiener filter (MMWF) algorithm that can be effectively applied to CT devices with excellent time resolution has been presented. The purpose of this study is to optimize the mask size of MMWF algorithm and to see the excellence of noise reduction of MMWF algorithm for existing algorithms. After applying the MMWF algorithm with each mask sizes set from the MASH phantom abdominal images acquired using the MATLAB program, which includes Gaussian noise added, and compared the values of root mean square error (RMSE), peak signal-to-noise ratio (PSNR), coefficient correlation (CC), and universal image quality index (UQI). The results showed that RMSE value was the lowest and PSNR, CC and UQI values were the highest in the 5 x 5 mask size. In addition, comparing Gaussian filter, median filter, Wiener filter, and MMWF with RMSE, PSNR, CC, and UQI by applying the optimized mask size. As a result, the most improved RMSE, PSNR, CC, and UQI values were showed in MMWF algorithms.

• The Journal of the Korea Contents Association
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• v.15 no.5
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• pp.436-443
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• 2015

The purpose of this study was to develop a self-diagnostic linearity quality control techniques of computed tomography (CT) by using measured CT number values from the various concentrations of iodine contrast media (CM) is diluted with distilled water under each condition of the tube voltage. The equipment was used for four-channel MDCT, the iodine concentration were using 300 mgI/ml, 350 mgI/ml, 370 mgI/ml and 400mgI/ml. Dilution of CM in distilled water was increased by each 5% until the maximum CT number values were measured. We applied the tube voltages for 90 kVp, 120 kVp, 140 kVp. As a result, we was obtained to the nearest linearity as 0.993 of correlation coefficient between the iodinated CM from 5% to 25% in 400 mgI/ml and the CT number values by 90 kVp. In conclusion, the proposed self-diagnostic linearity quality assurance technique by using iodine CM can be utilized to replace the AAPM CT performance phantom.

• Annual Conference of KIPS
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• 2020.11a
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• pp.548-551
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• 2020

최근 의료시장에 상용화된 모바일 수술 중 CT(intra-operative computed tomography, iCT)는 수술실 내 이동이 자유로울 뿐만 아니라 수술 후 즉각적인 환자 모니터링이 실시간으로 이루어져 수술 후 환자의 예후 향상과 재수술 확률을 낮출 수 있다. 이동성을 갖춘 iCT 는 편의성과 유용성이 검증되었지만, 이동시 발생될 수 있는 충돌사고의 단점이 존재한다. 따라서, iCT 의 이동시 발생할 수 있는 위험을 최소화 할 수 있는 안전장치가 요구된다. 본 연구에서는 모바일 iCT 의 구동 제어의 편의성과 안전성을 확보 할 수 있는 CT 촬영을 제어하기 위한 리모트 컨트롤러, 이동시 전방 시야를 확보하기 위한 전방 모니터링 카메라 출력, 충돌 위험을 알릴 수 있는 초음파 센서를 통합하는 임베디드 컨트롤러를 개발하고자 한다.

• Journal of the Korean Society of Radiology
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• v.17 no.1
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• pp.123-129
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• 2023

The purpose of this study was to analyze differences in imaging quality and dose difference between intra-venous (IV) and intra-arterial (IA) liver dynamic computed tomography (CT). Herein, retrospective, blinded analysis was conducted to analyze signal-to-noise and contrast-to-noise ratios in cases of patients who underwent IV or IA liver dynamic CT for transarterial chemoembolization (TACE), an interventional procedure for hepatocellular carcinoma. The dose length product (DLP) value stored in Picture Archive and Communication System (PACS) was used to calculate the effective dose and thereby compare differences in the dose between the two methods. The mean liver and spleen signal to noise ratio (SNR) was greater in IV-liver dynamic CT than in IA-liver dynamic CT; however, contrast to noise ratio (CNR) was higher in IA-liver dynamic CT than in IV-liver dynamic CT. However, there were no differences in DLP and effective dose between the two methods. In conclusion, our findings showed that IA-liver dynamic CT showed a similar effective dose and superior CNR compared with IV-liver dynamic CT. Further studies must analyze 3D angiography CT of the hepatic artery to clearly distinguish the feeding artery, which is the essential step in interventional procedures for hepatocellular carcinoma.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.38 no.5
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• pp.497-503
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• 2014

Minimally invasive intramedullary nail insertion or plate osteosynthesis has shown good results for the treatment of long bone fractures. However, directly seeing the fracture site is impossible; surgeons can only confirm bone fragments through a fluoroscopic imaging system. The narrow field of view of the equipment causes malalignment of the fracture reduction, and radiation exposure to medical staff is inevitable. This paper suggests two methods to solve these problems: surgical navigation using 3D models reconstructed from computed tomography (CT) images to show the real positions of bone fragments and estimating the rotational angle of proximal bone fragments from 2D fluoroscopic images. The suggested methods were implemented using open-source code or software and evaluated using a model bone. The registration error was about 2 mm with surgical navigation, and the rotation estimation software could discern differences of $2.5^{\circ}$ within a range of $15^{\circ}$ through a comparison with the image of a normal bone.

• Journal of the Korean Society for Precision Engineering
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• v.22 no.3 s.168
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• pp.7-14
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• 2005

본 논고에서는 microfocus X 선 발생장치와 평판형 영상센서를 이용한 micro-CT 시스템의 개발과 그 응용에 대해 소개하였다. 개발과 관련하여서는 영상센서 및 시스템의 동작원리뿐만 아니라 성능평가 결과에 대해서도 간단히 언급하였는데, 이와 같은 성능평가는 추후 개선된 혹은 새로운 설계 및 제작을 위해서는 필수적으로 수반되어야 할 부분이다. 개발된 micro-CT 시스템의 응용분야 소개와 관련하여서는 몇 가지 획득 영상을 토대로 바이오 영상과 산업용 영상에 관하여 언급하였다. 바이오 영상분야에서는 현재 세계적으로 유수 의료기기업체에서 이미 제작하여 판매하고 있으며, 대부분 X선 영상증배관 혹은 CCD(charge-coupled device)를 X 선 영상획득 센서로 사용한 반면, 본 논고에서 소개한 시스템은 평판형 영상센서를 사용했다는 점에서 차별성이 있다. Micro-CT 시스템의 산업용 영상분야로의 적용은 이제 시작 단계이며, 기존 라미노그라피 시스템을 대체하거나 혹은 새로운 응용으로 자리매김할 것으로 기대된다.

• Journal of Bio-Environment Control
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• v.28 no.4
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• pp.366-375
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• 2019

This experiment aims to determine the proper irrigation scheduling based on a whole-substrate capacitance using a newly developed device (SCMD) by comparing with the integrated solar radiation automated irrigation system (ISR) and sap flow sensor automated irrigation system (SF) for the cultivation of tomato (Solanum lycopersicum L. 'Hoyong' 'Super Doterang') during spring to winter season. For the SCMD system, irrigation was conducted every 10 minutes after the first irrigation was started until the first run-off was occurred, of which the substrate capacitance was considered to be 100%. When the capacitance threshold (CT) was reached to the target point, irrigation was re-conducted. After that, when the target drain volume (TDV) was occurred, the irrigation stopped. The irrigation volume per event for the SCMD was set to 50, 75, or 100 mL at CT 0.9 and TDV 100 mL during the spring to summer cultivation, and the CT was set to 0.65, 0.75, 0.80, or 0.90 in the winter cultivation. When the irrigation volume per event was set to 50, 75, or 100 mL, the irrigation frequency in a day was 39, 29, and 19, respectively, and the drain rate was 3.04, 9.25, and 20.18%, respectively. When the CT was set to 0.65, 0.75, or 0.90 in winter, the irrigation frequency was about 6, 7, 15 times, respectively and the drain rate was 9.9, 10.8, 35.3% respectively. The signal of stem sap flow at the beginning of irrigation starting time did not correspond to that of solar irradiance when the irrigation volume per event was set to 50 or 75 mL, compared to that of 100 mL. In winter cultivation, the stem sap flow rate and substrate volumetric water content at the CT 0.65 treatment were very low, while they were very high at CT 0.90 was high. All the integrated data suggest that the proper range of irrigation volume per event is from 75 to 100 mL under at CT 0.9 and TDV 100 mL during the spring to summer cultivation, and the proper CT seems to be higher than 0.75 and lower than 0.90 under at 75 mL of the irrigation volume per event and TDV 70 mL during the winter cultivation. It is going to be necessary to investigate the relationship between capacitance value and substrate volumetric water content by determining the correction coefficient.

• Progress in Medical Physics
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• v.15 no.1
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• pp.30-38
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• 2004

Purpose: To develop a whole body frame for the purpose of reducing patient motion and minimizing setup error for extra-cranial stereotactic radiotherapy, and to evaluate the repositioning setup error of a patient in the frame. Materials and Methods: The developed whole body frame is composed of a base plate, immobilizer, vacuum cushion, ruler and belts. The dimension of the base plate is 130 cm in length, 50 cm in width and 1 cm in thickness. The material used in the base plate of the frame was bakelite and the immobilizer was made of acetal. In addition, Radiopaque angio-catheter wires were engraved on the base plate for a coordinate system to determine the target localization. The measurement for radiation transmission and target localization is peformed in order to test the utilization of the frame. Also, a Matlab program analyzed the patients setup error by using the patient's setup images obtained from a CCTV camera and digital record recorder (DVR). Results: A frame that is useful for CT simulation and radiation treatment was fabricated. The frame structure was designed to minimize collisions from the changes in the rotation angle of the gantry and to maximize the transmission rate of the Incident radiation at the lateral or posterior oblique direction. The lightening belts may be used for the further reduction of the patient motion, and the belts can be adjusted so that they are not in the way of beam direction. The radiation transmission rates of this frame were measured as 95% and 96% at 10 and 21 MV, respectively. The position of a test target on the skin of a volunteer is accurately determined by CT simulation using the coordinate system in the frame. The estimated setup errors by Matlab program are shown 3.69$\pm$1.60, 2.14$\pm$0.78 mm at the lateral and central chest, and 7.11 $\pm$2.10, 6.54$\pm$2.22 mm at lateral and central abdomen, respectively. The setup error due to the lateral motion of breast is shown as 6.33$\pm$ 1.55 mm. Conclusion: The development and test of a whole body frame has proven very useful and practical in the radiosurgery for extra-cranial cancers. It may be used in determining target localization, and it can be used as a patient immobilization tool. More experimental data should be obtained in order to improve and confirm the results of the patient setup error.