• Title/Summary/Keyword: CT 방사선

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Basic Principles of CT Dose Index and Understanding of CT Parameter for Dose Reduction Technique (CT선량지표의 원리와 선량감소 방안에 관한 연구)

  • Kim, Jung-Su;Kwon, Soon-Mu;Kim, Jung-Min
    • Journal of radiological science and technology
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    • v.38 no.1
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    • pp.51-61
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    • 2015
  • Computed tomography(CT) using radiation have potential risks. All medical radiographic examinations should require the justification of medical imaging examinations and optimization of the image quality and radiation exposure. The CT examination was higher radiation dose then general radiography. Especially pediatric CT examinations need to great caution of radiation risk. Because of pediatric patient was more sensitive of radiation exposure. Therefore, physician should consider the knowledge of CT radiation exposure indicator information for reduce a needless radiation exposure. This article was aim to understanding of CT exposure indicator, size-specific dose estimates by American Association of Physicists in Medicine (AAPM) report 204, XR 25 and understanding of CT dose reduction technique.

Reduction of Radiation Exposure Dose of Eyeball and Thyroid for Chest and Abdomen CT Scan (흉부 및 복부 CT 검사 시 안구와 갑상선의 방사선 피폭선량 저감)

  • Lee, Jun Seok;Chon, Kwon Su
    • Journal of the Korean Society of Radiology
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    • v.13 no.2
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    • pp.147-151
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    • 2019
  • In chest and abdomen CT scans, the radiation exposure doses by scattering lines were measured at the eyeball and thyroid. Radiation exposure was investigated by using shielding devices. The chest and abdomen CT scan protocols used in the real examination were applied to measure and compare radiation doses before and after the use of shielding devices at the eyeball and the thyroid. The radiaton doses were measured with OSLD dosimeters. Barium, tungsten sheets, goggles and neck shields were used to protect the scattered X-ray. The chest CT scans showed respectively 3.01 mSv and 6.21 mSv at the eyeball and the thyroid by the scattered X-ray. The abdomen CT scans showed 0.55 mSv and 3.22 mSv for the eyeball and the thyroid respectively. Barium and tungsten sheets had 11% to 13% protection rates at the eyeball and the thyroid for chest CT scan, and 34% to 49% reduction in radiation dose for the abdomen CT scan. Because of the significant radiation dose, which causes cataracts and thyroid cancer by the repeated and continuous radiation exposure, for the chest and the abdomen CT scans, it is required to use shielding devices to reduce radiation dose for examinations.

Proposal of CT Simulator Quality Assurance Items (전산화단층 모의치료장치의 정도관리 항목 제안)

  • Kim, Yon-Lae;Yoon, Young-Woo;Jung, Jae-Yong;Lee, Jeong-Woo;Chung, Jin-Beom
    • Journal of radiological science and technology
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    • v.44 no.4
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    • pp.367-373
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    • 2021
  • A quality assurance of computed tomography(CT) have done seven items that were water attenuation coefficient, noise, homogeneity, spatial resolution, contrast resolution, slice thickness, artifact using by standard phantom. But there is no quality assurance items and methods for CT simulator at domestic institutions yet. Therefore the study aimed to access the CT dose index(CTDI), table tilting, image distortion, laser accuracy, table movement accuracy and CT seven items for CT simulator quality assurance. The CTDI at the center of the head phantom was 0.81 for 80 kVp, 1.55 for 100 kVp, 2.50 for 120 mm, 0.22 for 80 kVp at the center of the body phantom, 0.469 for 100 kVp, and 0.81 for 120 kVp. The table tilting was within the tolerance range of ±1.0° or less. Image distortion had 1 mm distortion in the left and right images based on the center, and the laser accuracy was measured within ±2 mm tolerance. The purpose of this study is to improve the quality assurance items suitable for the current situation in Korea in order to protect the normal tissues during the radiation treatment process and manage the CT simulator that is implemented to find the location of the tumor more clearly. In order to improve the accuracy of the CT simulator when looking at the results, the error range of each item should be small. It is hoped that the quality assurance items of the CT simulator will be improved by suggesting the quality assurance direction of the CT simulator in this study, and the results of radiation therapy will also improve.

Analysis of Relationship Between Injection Dose and Exposure Dose in PET/CT Scan: Initial Study (PET/CT에서 방사성 의약품 주입량이 방사선 피폭에 미치는 영향분석: 초기연구)

  • Park, Hoon-Hee;Lyu, Kwang-Yeul
    • Journal of radiological science and technology
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    • v.34 no.4
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    • pp.351-357
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    • 2011
  • The $^{18}F$-FDG is one of the widely used isotopes for PET/CT scans. Dose amount injected to the patient depends on the characteristics of PET/CT systems. Obviously, the technologists who contact with patients would be exposed as well. In this study, we evaluated the exposed dose of the technologist who works on the PET/CT scanner. The exposed dose were measured every month with the TLDs from 6 technologists. Each technologist is shift-worker who manages 3 different PET/CT systems(Scanner 1(S1): 0.15 mCi/kg, Scanner 2(S2): 0.17 mCi/kg, Scanner 3(S3): 0.12 mCi/kg). The average exposed doses of technologists for each PET/CT system were measured as 0.76 mSv for S1, 0.93 mSv for S2 and 0.47 mSv for S3. The maximum dose was 1.12 mSv and minimum was 0.42 mSv. The results showed that there was a correlation between exposed dose and PET/CT system(p<0.005). Less injected dose for patient occurs less exposed dose for technologist. Various studies for the low dose PET/CT system are required for not only the patient but also the technologist.

Evaluation of Corrected Dose with Inhomogeneous Tissue by using CT Image (CT 영상을 이용한 불균질 조직의 선량보정 평가)

  • Kim, Gha-Jung
    • The Journal of Korean Society for Radiation Therapy
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    • v.18 no.2
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    • pp.75-80
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    • 2006
  • Purpose: In radiation therapy, precise calculation of dose toward malignant tumors or normal tissue would be a critical factor in determining whether the treatment would be successful. The Radiation Treatment Planning (RTP) system is one of most effective methods to make it effective to the correction of dose due to CT number through converting linear attenuation coefficient to density of the inhomogeneous tissue by means of CT based reconstruction. Materials and Methods: In this study, we carried out the measurement of CT number and calculation of mass density by using RTP system and the homemade inhomogeneous tissue Phantom and the values were obtained with reference to water. Moreover, we intended to investigate the effectiveness and accuracy for the correction of inhomogeneous tissue by the CT number through comparing the measured dose (nC) and calculated dose (Percentage Depth Dose, PDD) used CT image during radiation exposure with RTP. Results: The difference in mass density between the calculated tissue equivalent material and the true value was ranged from $0.005g/cm^3\;to\;0.069g/cm^3$. A relative error between PDD of RTP and calculated dose obtained by radiation therapy of machine ranged from -2.8 to +1.06%(effective range within 3%). Conclusion: In conclusion, we confirmed the effectiveness of correction for the inhomogeneous tissues through CT images. These results would be one of good information on the basic outline of Quality Assurance (QA) in RTP system.

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Reviews of Radiation Protection and Shielding for Computed Tomography in Foreign Countries (외국의 컴퓨터 단층촬영 장치의 방어시설 문헌 조사)

  • Jahng, Geon-Ho;Yang, Dal-Mo;Sung, Dong-Wook;Lee, Kwang-Yong;Kim, Hyeog-Ju
    • Progress in Medical Physics
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    • v.19 no.4
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    • pp.276-284
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    • 2008
  • A computed tomography (CT) is a powerful system for the effectively fast and accurate diagnosis. The CT system, therefore, has used substantially and developed for improving the performance over the past decade, resulting in growing concerns over the radiation dose from the CT. Advanced CT techniques, such as a multidetector row CT scanner and dual energy or dual source CT, have led to new clinical applications that could result in further increases of radiation does for both patients and workers. The objective of this study was to review the international guidelines of the shielding requirements for a CT facility required for a new installation or when modifying an existing one. We used Google Search Engine to search the following keywords: computed tomography, CT regulation or shield or protection, dual energy or dual source CT, multidetector CT, CT radiation protection, and regulatory or legislation or regulation CT. In addition, we searched some special websites, that were provided for sources of radiation protection, shielding, and regulation, RSNA, AAPM, FDA, NIH, RCR, ICRP, IRPA, ICRP, IAEA, WHO (See in Table 1 for full explanations of the abbreviations). We finally summarized results of the investigated materials for each country. The shielding requirement of the CT room design was very well documented in the countries of Canada, United States of America, and United Kingdom. The wall thickness of the CT room could be obtained by the iso-exposure contour or the point source method. Most of documents provided by international organizations were explained in importance of radiation reduction in patients and workers. However, there were no directly-related documents of shielding and patient exposure dose for the dual energy CT system. Based international guidelines, the guideline of the CT room shielding and radiation reduction in patients and workers should be specified for all kinds of CT systems, included in the dual energy CT. We proposed some possible strategies in this paper.

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EFFECTIVE DOSE FROM CONE BEAM CT FOR IMAGING OF MESIODENS (상악 정중과잉치 진단을 위한 cone beam CT의 유효선량)

  • Han, Won-Jeong;Kim, Jong-Soo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.3
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    • pp.273-279
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    • 2012
  • Purpose : This study was aimed to calculate effective dose from cone beam CT and compare effective dose from periapical and panoramic radiography for mesiodens. Materials and Methods : Upper anteiror periapical, panoramic radiography and cone-beam CT were taken for diagnosis of mesiodens. The effective dose were calculated by using an anthropomorphic phantom loaded with thermoluminescent dosimeters at the 23 sites related to sensitive organs. Results : The highest absorbed doses were received by the mandibular body, parotid gland and cheek from periapical, panoramic and cone-beam CT, respectively. The effective doses for periapical, panoramic radiography and cone-beam CT measured 2, 18 and 48 ${\mu}Sv$. Conclusion : Cone-beam CT, although providing additional diagnostic benefits, exposes patients to higher levels of radiation than conventional periapical and panoramic radiography.

Radiography and Computed Tomography in Four Dogs with Lung Lobe Torsion (흉부 방사선 촬영과 컴퓨터단층촬영을 이용한 폐염전의 진단 4례)

  • Lee, Ki-Ja;Choi, Sung-Jin;Kim, Young-Hwan;Jeong, In-Seong;Choi, Ho-Jung;Lee, Young-Won
    • Journal of Veterinary Clinics
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    • v.30 no.5
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    • pp.390-393
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    • 2013
  • This case study describes the imaging features of radiography and computed tomography (CT) in four small breed dogs with lung lobe torsion. The medical records, thoracic radiographs and CT images of four dogs with confirmed lung lobe torsion were retrospectively reviewed. Pleural effusion and increased lobar opacity/density were seen on all CT and thoracic radiography in all four dogs. CT revealed narrowed/collapsed bronchus in all four dogs, while this was only appreciated on one thoracic radiography. The vesicular emphysema pattern was seen on four CT but only on three radiographic examinations. The specific findings of lung lobe torsion were vesicular emphysema and a narrowed/collapsed bronchus. These findings were more easily recognized on CT than with thoracic radiographs.