• 치과방사선
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• 제21권2호
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• pp.415-423
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• 1991

This study was performed to evaluate the geometric standardization of periapical intraoral radiography. Image distortion was measured by analysing serial radiography obtained from dry skull using 5 types of bite registration device. After 16 weeks, the angular distortion of Pattern resin was 0.26±0.14 degree(Horizontal angle 0.17±0.14, Vertical angle 0.16±0.11) which was the lowest among the 5 registration device, and that of putty type Exaflex was 0.49±0.35 degree(Horizontal angle 0.42±0.35, Vertical angle 0.17±0.13) which was the highest. The mean amount of distortion variance of Tooth shade acrylic at each experimental period was 0.06±0.08 which was the lowest among the 5 registration device, and that of XCP alone was 0.ll±0.13 which was the highest.

• International Journal of Contents
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• 제17권1호
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• pp.18-26
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• 2021

The obesity leads to be the result of the weakening of anatomical structure as well as the gravity effect. And, the obesity interferes with normal sagittal balance and fails to maintain a straight posture with minimal energy. Therefore, the obesity can be an important factor in causing back pain by changing the lumbar lordosis. In this study, we will present an appropriate angle of incidence for obese people to reduce the image distortion of L4, L5 during a general anteroposterior radiography examination. To reduce image distortion according to the change of lordosis, the angle of incidence was applied 9 ° and 21 ° to L4 and L5 vertebra body when obesity and low back pain (LBP) perform the general anteroposterior radiography examination.

• 치과방사선
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• 제22권1호
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• pp.117-127
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• 1992

This investigation was performed to test the readability of the video based digital radiography, that can be applied clinically, compared with the periapical radiograph. The experiments were performed with IBM-PC/AT compatible, video camera and ADC (analog-digital converter). And spatial resolution was 512 X 480 with 256 (8 bit) gray levels. The radiographs obtained by using variable steps of exposure time were digitized. and then the digital images were analyzed. The obtained results were as follows: 1. There was no remarkable difference in readability between the radiographs and their digital images. However, under over exposure the digital images were superior to the radiographs in readability and vice versa. 2. As the exposure time was increased, the gray level of the digital image was decreased proportionally. 3. The correlation beween the regions of interest and the aluminum step wedges were relatively close; R=0.9965 (p <0.001).

• 대한방사선기술학회지:방사선기술과학
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• 제38권4호
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• pp.375-381
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• 2015

디지털 방사선 시스템은 영상의학에서 큰 비중을 차지하고 있다. 잘못된 영상이 제공 된다면 이는 환자의 건강에 나쁜 영향을 줄 수 있기에, 올바른 디지털 방사선 영상이 제공되어야만 한다. 또한, artifact는 오진으로 이어질 수 있다. 디지털 방사선 시스템에서 발생하는 artifact를 종류별로 분석하여 그 결과 분석하였다. 본 연구에서 사용된 artifact는 서울의 종합병원 급 의료기관에서 2007년부터 2014년까지 수집된 자료들이다. 수집된 자료는 발생 원인별로 구별하여 그 원인을 분석하였다. artifact는 하드웨어적 artifact, 소프트웨어적 artifact, 사용자 오류, 시스템 artifact 및 기타로 구분하였다. 하드웨어적 artifact는 Ghost가 가장 빈번하게 관찰되었으며, 이는 신호의 잔류에 의한 것이다. 다음은 RF 잡음에 의한 오류, 장비 내 이물질에 의한 오류 순이다. 소프트웨어 artifact는 많은 원인이 있다. 부정확한 영상 교정에 의한 artifact가 가장 많았으며, EDR 인식오류, 접합면 처리 오류 등이 있으며, 소프트웨어 artifact는 매우 다양한 경향을 나타낸다. 사용자 오류는 디지털 의료 영상 시스템을 바르게 이해하지 못해 발생시킨 것들이 많았다. 아울러, 시스템 artifact는 DICOM 헤더 정보 오류, 압축 오류가 있다. 분명하게 나타나는 artifact는 재촬영의 원인이 되어 환자의 피폭을 증가시키고, 불분명하게 나타나는 artifact는 오진을 유발 시킬 수 있다. 따라서 방사선사에게서 이러한 artifact를 바로 구별 할 수 있는 능력이 요구 된다. 그러므로 artifact가 발생되는 원인과 그 특성을 분명하게 이해함으로 지속적인 교육과 안정적인 시스템 운영에 힘써야 할 것으로 사료된다.

• Imaging Science in Dentistry
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• 제31권1호
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• pp.51-55
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• 2001

Purpose : This study was performed to compare the diagnostic ability of conventional intraoral radiographs with that of digital subtraction image and to assess the quantifying ability of digital subtraction image for simulated apical root resorption Materials and Methods : Conventional intraoral radiographs and digital images of ten sound maxillary central incisors and those with simulated apical root resorption were taken with varying horizontal and vertical angulations of the x-ray beam. The diagnostic accuracy to detect the lesion was evaluated on conventional intraoral radiographs and digital subtraction images by ROC analysis. The amount of simulated apical root resorption was also estimated on the reconstruction images by Emago/sup (R)/ and compared with actual amount of tooth loss using paired t-test. Results: The diagnostic accuracy of conventional intraoral radiographs to detect the apical root resorption was low (ROC area = 0.6446), and the sensitivity and the specificity of digital subtraction images were 100%, respectively. The calculated amounts of apical root resorption showed no statistically significant difference with the actual amounts of the lesion (p>0.05). Conclusion: Digital subtraction radiography is powerful tool to detect the small apical root resorption, and quantitative analysis of small amounts of the lesion can be evaluated by digital subtraction radiography.

• Imaging Science in Dentistry
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• 제53권4호
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• pp.345-353
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• 2023

Purpose: The objective of this study was to propose a method for developing a clinical phantom to reproduce various diseases that are clinically prevalent in the field of dentistry. This could facilitate diverse clinical research without unnecessarily exposing patients to radiation. Materials and Methods: This study utilized a single dry skull, which was visually and radiographically examined to evaluate its condition. Existing lesions on the dry skull were preserved, and other relevant lesions were artificially created as necessary. These lesions were then documented using intraoral radiography and cone-beam computed tomography. Once all pre-existing and reproduced lesions were confirmed by the consensus of 2 oral and maxillofacial radiologists, the skull was embedded in a soft tissue substitute. To validate the process, cone-beam computed tomography scans and panoramic radiographs were obtained of the fabricated phantom. All acquired images were subsequently evaluated. Results: Most lesions could be identified on panoramic radiographs, although some sialoliths and cracked teeth were confirmed only through cone-beam computed tomographic images. A small gap was observed between the epoxy resin and the bone structures. However, 2 oral and maxillofacial radiologists agreed that this space did not meaningfully impact the interpretation process. Conclusion: The newly developed phantom has potential for use as a standardized phantom within the dental field. It may be utilized for a variety of imaging studies, not only for optimization purposes, but also for addressing other experimental issues related to both 2- and 3-dimensional diagnostic radiography.

• 한국방사선학회논문지
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• 제1권1호
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• pp.31-37
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• 2007

본 연구의 목적은 CR(Computed Radiography)과 DR(Digital Radiography)장비의 각 Detector를 통해 획득된 영상의 화질을 비교 분석하기 위한 것이다. CR(AGFA MD 4.0 General plate, JAPAN)과 DR(HOLOGIC nDirect Ray, USA)에 대한 영상평가의 주요인자인 MTF(Modulation transfer function), NPS(Noise power spectrum), Photon fluence, DQE(Detective quantum efficiency)를 정량적인 값으로 도출하여 비교한 결과 CR이 DR보다 우수하게 나타났다. 본 연구의 결과는 CR과 DR장비의 Image quality를 정량적으로 평가할 수 있을 뿐만 아니라 이 장비들을 유지, 보수하는데도 도움이 될 것으로 사료된다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제44권1호
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• pp.18-24
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• 2018

Objectives: Foreign bodies (FBs) account for 3.8% of all pathologies of the head and neck region, and approximately one third of them are missed on initial examination. Thus, FBs represent diagnostic challenges to maxillofacial surgeons, rendering it necessary to employ an appropriate imaging modality in suspected cases. Materials and Methods: In this cross-sectional study, five different materials, including wood, metal, glass, tooth and stone, were prepared in three sizes (0.5, 1, and 2 mm) and placed in three locations (soft tissue, air-filled space and bone surface) within a sheep's head (one day after death) and scanned by panoramic radiography, cone-beam computed tomography (CBCT), and ultrasonography (US) devices. The images were reviewed, and accuracy of the detection modalities was recorded. The data were analyzed statistically using the Kruskal-Wallis, Mann-Whitney U-test, Friedman, Wilcoxon signed-rank and kappa tests (P<0.05). Results: CBCT was more accurate in detection of FBs than panoramic radiography and US (P<0.001). Metal was the most visible FB in all of modalities. US was the most accurate technique for detecting wooden materials, and CBCT was the best modality for detecting all other materials, regardless of size or location (P<0.05). The detection accuracy of US was greater in soft tissue, while both CBCT and panoramic radiography had minimal accuracy in detection of FBs in soft tissue. Conclusion: CBCT was the most accurate detection modality for all the sizes, locations and compositions of FBs, except for the wooden materials. Therefore, we recommend CBCT as the gold standard of imaging for detecting FBs in the maxillofacial region.

• Journal of Oral Medicine and Pain
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• 제42권2호
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• pp.35-43
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• 2017

Purpose: This study aims to evaluate the correlation between joint sounds and radiographic bone change patterns along with clinical symptoms of temporomandibular joint osteoarthritis (TMJ OA) patients. Methods: The patients for this study were over 19 years of age, diagnosed tentatively with TMJ OA. The patients were examined with temporomandibular disorders analysis test and all three radiographs, including panoramic radiography, transcranial radiography, and cone beam computed tomography (CBCT). Information of the patients' age, pain status, joint sound and mouth opening range were collected. And bone change pattern was examined by reviewing panoramic radiography, transcranial radiography and CBCT images. Results: The patients with crepitus had a higher average active mouth opening (AMO) range than patients without crepitus, and the group with bilateral crepitus had a higher average AMO range than the group with unilateral crepitus (p<0.001). And the patient with pain during mastication was increased in the group with clicking than the group without clicking, and the group with bilateral clicking showed a statistically significant increase in the patient with pain during mastication than the group with unilateral clicking (p<0.05). The analytical results of the relevance of crepitus showed a high correlation with bone change observed from each of the three radiographs. And the agreement in bone change findings from 3 groups of paired radiographs showed high agreement (p<0.001). Meanwhile, 77.2% of CBCT findings showed bone change of condyle without crepitus (p<0.001). Conclusions: This study presented significant results in the evaluation of the correlation with crepitus and bone change of TMJ OA patients from panoramic radiography or transcranial projection. However, the accurate assessment is required through CBCT for the patient with complains of persistent pain, limitation of mouth opening, and occlusal change even if the crepitus does not exist.

• 대한디지털의료영상학회논문지
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• 제10권2호
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• pp.23-31
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• 2008

Computed radiography(CR) has been widely used in the field of diagnostic radiography since digital X-ray image was introduced. The imaging performance of CR system was studied by analyzing the digital image data of the CR images which are the outcomes of the whole imaging system composed of image plate(IP), laser digitizer, analoge-digital convertor, and a given image processing unit. In this study, we used a conventional CR system made by Agfa. From the flat field image of 150$\times$150 image pixels, signal-to-noise ratio(SNR) was calculated. SNR of the CR image increases in proportion to logarithm value of the X-ray exposure irradiated on the IP. SNR is less than about 6 at the exposure below 0.2mR and is more than 10 at the exposure above 0.54mR. In our study, most of images obtained by the smaller exposures less than 2.0mR can not be readable. In general, the minimum value of the SNR ranges from 3 to 5. We obtained modulation transfer function(MTF) by analyzing the bar pattern image which was made under conditions as follows: X-ray tube potential was 55kVp, the IP exposure was 0.54 mR, and the distance between X-ray source to IP was 2m, where bar pattern was located on the IP. MTF is 23% at 2.5lp/mm spatial frequency. Provided that the MTF of noise equivalent modulation is 10%, the CR system has the limiting spatial resolution of 3.2lp/mm. If the image sharpness is evaluated by the spatial frequency where MTF is 50%. the corresponding spatial frequency is 0.5$\sim$0.75lp/mm. MTFA(Modulation Transfer Function Area) is 1.0lp/mm. Compared with the Fuji CR whose MTFA is 1.1lp/mm, Agfa CR in this study shows almost same MTFA performance.