• Journal of the Korean Society of Radiology
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• v.17 no.5
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• pp.685-691
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• 2023

This study aims to raise awareness of the exposure index according to the Sub-ROI in clinical use by studying the effect of Sub-ROI's change on exposure index and dose during Chest PA examination. In this study, to examine the changes in EI and ESD according to the Sub-ROI setting, the irradiation conditions were set to 120 kVp, 200 mA, 2 mAs, and the SID was fixed to 180cm. Five types of Sub-ROI were used. The average value of EI according to the Sub-ROI's change was 135.58 ± 0.89 in AEC, 100.80 ± 0.80 in VR, 143.43 ± 0.76 in HR, 103.22 ± 0.68 in LS, and 102.79 ± 0.84 in SS. The mean value of ESD was 30.28±0.50 µGy in AEC, 30.16 ± 0.44 µGy in VR, 30.30 ± 0.46 µGy in HR, 30.23 ± 0.46 µGy in LS, and 30.28 ± 0.51 µGy in SS. As a result of this study, based on the AEC mode recommended by the manufacturer, the VR (25.7%), LS (23.9%), and SS (24.2%) modes decreased, and the HR mode increased by 5.7%. However, ESD was not affected by the Sub-ROI's change. Therefore, Sub-ROI may change EI during the Chest PA examination, it is considered that Sub-ROI should be used appropriately when setting protocols in clinical use.

• Korean Journal of Digital Imaging in Medicine
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• v.12 no.2
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• pp.119-125
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• 2010

In order to demonstrate the value of long-distance radiography, we have studied how distance affects images in chest frontal radiography and compared short-distance and long-distance images in chest lateral radiography. Cardiothoracic ratio(CTR %) of 50 patients with no disease in the chest(10 each at the age of 20~60) were evaluated in Supine AP(100 cm), Sitting AP(100 cm), Sitting AP(180 cm), and Erect PA(180 cm). In lateral radiography, we evaluated and compared left lateral radiography(100 cm and 180 cm) of the patients based on the horizontal maximum of the heart. The average value of CTR(%) were 0.48 in Erect PA(180 cm), 0.52 in Supine AP(100 cm), 0.50 in Sitting AP(100 cm), 0.49 in Sitting AP(180 cm), which were Supine AP(100 cm) > Sitting AP(100 cm) > Sitting AP(180 cm) > Erect PA(180 cm). The average value of Maximum transverse diameter of left of the cardiac(MLD), which showed how much axis of spine was slanted to the left, was 90.67 mm in Erect PA(180 cm), 103.92 mm in Supine AP(100 cm), 93.54 mm in Sitting(100 cm), 89.84 mm in Sitting AP(180 cm), 58.11 mm in the minimum value and 118.79 mm in the maximum value. The average value of Maximum transverse diameter of right side of the cardiac(MRD), which suggested how much axis of spine was slanted to the right, was 47.18 mm in Erect PA(180 cm), 48.12 mm in Supine AP(100 cm), 44.98 mm in Sitting AP(180 cm), and the minimum value 26.84 mm and the maximum value 65.30 mm. There was no standard method to calculate; therefore, the horizontal maximum of the heart was used for lateral radiography. The average value was 121.07 mm in 100 cm and 109.76 mm in 180 cm. Sitting AP(180 cm) among the types was closest to C-PA(180 cm). As a result, during C-AP radiography, long-distance radiography lessened shadow of the heart more than that of short distance, Sitting position more than Supine position.

• Journal of Chest Surgery
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• v.27 no.8
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• pp.714-716
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• 1994

Perforation of the esophagus, with any of its possible consequences, consetitutes an emergeny. We are reporting one case of transhiatal esophagectomy with esophagogastrostomy. The cause of esophageal perforation was baloon dilatation with underlying stricture. We recognized immediately intrathoracic perforation through routin check of Chest PA and confrormed dye leakage through esophagogram. She underwent emergency operation.

• Journal of radiological science and technology
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• v.41 no.2
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• pp.97-102
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• 2018

The purpose of this study is to provide the basic data for reducing unnecessary radiation dose to the abdomen and fetus of pregnant women by presenting proper height of shielding protector for efficient abdominal shielding in chest PA examination of Korean pregnant women. The subjects of this study were 288 persons who were eligible for this study among 798 pregnant women who had chest PA examination from January 1, 2015 to December 31, 2016 Retrospective study was performed. Measurements was performed from the apex of the right and left lungs to costophrenic angle of the right and left lungs and to the lowest costophrenic angle among the right and left lungs at the top of the image(this line called Joo's line in this study). The mean of the right and left lung height of pregnant women were 259.09 mm and 263.57 mm, respectively. Also, the average height of the Joo's line designed by the researcher for proper abdominal radiation protection was 322.15 mm. For proper and efficient abdominal radiation protection for pregnant women, it is necessary to adjust the shielding according to the height of the pregnant woman. It is appropriate that the height of the shielding protector should be adjusted so that the upper part of the shield is located at 342.30 mm below from upper part of the detector.

• Journal of the Korean Society of Radiology
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• v.11 no.1
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• pp.55-61
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• 2017

There are no recommended test conditions for digital photography in Chest PA examinations. However, each company recommends shooting examinations of the high voltage applied to the previous analog examination. The condition that satisfies the value of 200 ~ 800 which is the recommended Exposure Index value recommended by Philips was selected, and the dose was evaluated by Monte Carlo simulation, and the SNR and CNR were compared. As a result, it was possible to reduce the effective dose up to 77% by controlling the tube voltage, tube current, and additional filter, not the conventional high voltage imaging method. Although there were some differences according to the test conditions, the image evaluation results were similar to the images. We will compare the exposure dose according to changes in tube voltage, tube current, and additional filter at the digital chest radiograph and evaluate the image quality of the image to propose optimal conditions.

• Journal of Chest Surgery
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• v.10 no.2
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• pp.274-280
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• 1977

As a major cause for postoperative hypoxia, the importance of increased physiological shunting is increasingly emphasized. This study is a review and analysis of postoperative physiological shunting following open heart surgery with the aid of extracorporeal circulation. Sixteen patients were selected from among 21 patients who underwent elective open heart surgery at the Department of Thoracic and Cardiovascular Surgery, Kyungpook National University, School of Medicine, from December, 1975 to September, 1977. The results were as follows: 1. The degree of postoperative physiological shunt was progressively increased from 18.8% mean value one hour after surgery to 22.7% mean value, reaching a peak on the second postoperative days. 2. For up to one week, large physiological shunt[15%] was persisted in one patient. 3. Comparing long[more than 90 minutes] with short[less than 90 minutes] perfusion time group using pump oxygenator, it was found that the physiological shunt increased about 3% in the long as compared with the short perfusion time group. 4. The mean blood pressure was 70-80 mmHg without a remarkable causal relationship between physiological shunt and mean blood pressure. 5. On elevated $PaO_2$[>200 torr], the physiological shunt was decreased less than 20% of cardiac output, but on diminished $PaO_2$[102 torr] after two days, it was 22.7% of cardiac output. From above results, a contrary causal relationship between $PaO_2$ and physiological shunt was obtained. Co Reviewing chest X-rays postperfusion, it was demonstrated that no remarkable causal relationship between roentgen-ray evidence and physiological shunt could be obtained.

• Journal of Radiation Protection and Research
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• v.27 no.3
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• pp.155-164
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• 2002

Methodology to evaluate the effective doses to adults undergoing various diagnostic x-ray examinations were established by Monte Carlo simulation of the x-ray examinations. Anthropomorphic mathematical phantoms, the MIRD5 male phantom and the ORNL female phantom, were used as the target body and x-ray spectra were produced by the x-ray spectrum generation code SPEC78. The computational procedure was validated by comparing the resulting doses to the results of NRPB studies for the same diagnostic procedures. The effective doses as well as the organ doses due to chest, abdomen, head and spine examinations were calculated for x-rays incident from AP, PA, LLAT and RLAT directions. For instance, the effective doses from the most common procedures, chest PA and abdomen AP, were 0.029 mSv and 0.44 mSv, respectively. The fact that the effective dose from PA chest x-ray is far lower than the traditional value of 0.3 mSv(or 30 mrem), which results partly from the advances of technology in diagnostic radiology and partly from the differences in the dose concept employed, emphasizes necessities of intensive assessment of the patient doses in wide ranges of medical exposures. The methodology and tools established in this study can easily be applied to dose assessments for other radiology procedures; dose from CT examinations, dose to the fetus due to examinations of pregnant women, dose from pediatric radiology.

• The Korean Journal of Food And Nutrition
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• v.11 no.2
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• pp.171-178
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• 1998

K14 patient with chronic dyspnea, who is senile female, early had suffered from radical mastectomy, radiotherapy, autoplastic transplantation, and knee arthritis. Abnormalities of cardiopulmonary function such as obesita, hypertension, mild left ventricular hypertrophy, and chronic pulmonary disease were found from K14 patient's clinical datas, which based on medical history and diagnosis, as well as evaluation of blood pressure, obesity, clinical diagnosis, chest PA, electrocardiogram, ultrasonocardiograph, and spirometery test. Diagnostic results were exactly analyzed, also long-term cares of K14 patient were discussed with related to the clinical literatures.

• Journal of Chest Surgery
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• v.49 no.5
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• pp.392-396
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• 2016

We report a case of aortic dissection masquerading as acute ischemic stroke followed by intravenous thrombolysis. A 59-year-old man presented with dizziness. After examination, the patient had a seizure with bilateral Babinski signs. Soon after identifying multiple acute infarctions in both hemispheres on diffusion-weighted brain magnetic resonance (MR) imaging, tissue plasminogen activator (t-PA) was administered. Both common carotid arteries were invisible on MR angiography, and subsequent chest computed tomography revealed an aortic dissection. The emergency operation was delayed for 13 hours due to t-PA administration. The patient died of massive bleeding.

• Journal of radiological science and technology
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• v.39 no.2
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• pp.135-142
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• 2016

The purpose of this study is to evaluate propriety of using SID 180cm at Chest PA examination and to find effect of geometrical cause to the image. XGEO-GC80, INNOVISION-SH, CXDI-40EG detector and a chest phantom designed self-production was used for this study. Images were acquired at SID 180cm with changing the factor OID as 0, 75 and 83mm and were analyzed by Centricity Radiography RA1000 PACS system. Statistical program was used the SPSS (Version 22.0, SPSS, Chicago, IL, USA), p-value(under 0.05) was considered to be statistically significant. In OID 0 mm was enlarged about 2.7~3.5 mm than the actual degree of the HS, BS of phantom in all equipments. Compared with the calculated magnification has been expanded 1.6~2.8% when viewed. The OID 75 mm with OID 83 mm was extended from the CS and BS 6~8 mm range. Compared to the calculated values, the measured values are expanded from 6.1 to 7.9%. CS and BS according to the OID change showed a statistically significant difference (p<0.05) among each group, the post-analysis only OID 0 mm group appeared as an independent group, 75 mm and 83 mm are separated in the same group It was. But had no statistically significant difference could change depending on the OID (p>0.05), post-mortem analysis showed, both in the same group. Heart sizes appears larger than actual size 6~8 mm at chest PA examination which is enlarged 6.1~7.9% more than the actual theoretical value. We can find magnification of the image because of the increase of the OID due to technical limitations between cover of standing detector and the image plate. so we suggest to have occurred between them when considering the need to adjust the equipment installed by the SID to match the characteristics of the equipment.