• Imaging Science in Dentistry
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• 제43권3호
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• pp.145-151
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• 2013

Purpose: This study was performed to evaluate and compare the radiopacity of dentin, enamel, and 8 restorative composites on conventional radiograph and digital images with different resolutions. Materials and Methods: Specimens were fabricated from 8 materials and human molars were longitudinally sectioned 1.0 mm thick to include both enamel and dentin. The specimens and tooth sections were imaged by conventional radiograph using #4 sized intraoral film and digital images were taken in high speed and high resolution modes using a phosphor storage plate. Densitometric evaluation of the enamel, dentin, restorative materials, a lead sheet, and an aluminum step wedge was performed on the radiographic images. For the evaluation, the Al equivalent (mm) for each material was calculated. The data were analyzed using one-way ANOVA and Tukey's test (p<0.05), considering the material factor and then the radiographic method factor, individually. Results: The high speed mode allowed the highest radiopacity, while the high resolution mode generated the lowest values. Furthermore, the high resolution mode was the most efficient method for radiographic differentiation between restorative composites and dentin. The conventional radiograph was the most effective in enabling differentiation between enamel and composites. The high speed mode was the least effective in enabling radiographic differentiation between the dental tissues and restorative composites. Conclusion: The high speed mode of digital imaging was not effective for differentiation between enamel and composites. This made it less effective than the high resolution mode and conventional radiographs. All of the composites evaluated showed radiopacity values that fit the ISO 4049 recommendations.

• Restorative Dentistry and Endodontics
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• 제38권3호
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• pp.146-153
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• 2013

Objectives: Aluminum step wedge (ASW) equivalent radiodensity (eRD) has been used to quantify restorative material's radiodensity. The aim of this study was to evaluate the effects of image acquisition control (IAC) of a digital X-ray system on the radiodensity quantification under different exposure time settings. Materials and Methods: Three 1-mm thick restorative material samples with various opacities were prepared. Samples were radiographed alongside an ASW using one of three digital radiographic modes (linear mapping (L), nonlinear mapping (N), and nonlinear mapping and automatic exposure control activated (E)) under 3 exposure time settings (underexposure, normal-exposure, and overexposure). The ASW eRD of restorative materials, attenuation coefficients and contrasts of ASW, and the correlation coefficient of linear relationship between logarithms of gray-scale value and thicknesses of ASW were compared under 9 conditions. Results: The ASW eRD measurements of restorative materials by three digital radiographic modes were statistically different (p = 0.049) but clinically similar. The relationship between logarithms of background corrected grey scale value and thickness of ASW was highly linear but attenuation coefficients and contrasts varied significantly among 3 radiographic modes. Varying exposure times did not affect ASW eRD significantly. Conclusions: Even though different digital radiographic modes induced large variation on attenuation of coefficient and contrast of ASW, E mode improved diagnostic quality of the image significantly under the underexposure condition by improving contrasts, while maintaining ASW eRDs of restorative materials similar. Under the condition of this study, underexposure time may be acceptable clinically with digital X-ray system using automatic gain control that reduces radiation exposure for patient.

• 대한안전경영과학회지
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• 제6권3호
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• pp.303-309
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• 2004

Many system devices for fluoroscopic and general X-ray studies in diagnostic radiographic system have been being changed from analog mode to digital mode. In addition, among diagnostic imaging and radiologic examinations, fluoroscopic studies that requires functional diagnosis is being widely used. The video recording method of fluoroscopic studies has been useful in functional image diagnosis and dynamic image observation, but the utility of its image quality is being reduced because of limitation in setting play segments of the video player, inconvenience of play, difficulties in preserving reproduced images, the change of image quality, etc. In order to complement these shortages, it is necessary to facilitate access to patient diagnosis information such as storing, editing and sharing functional diagnosis images in response to the trend of the digitalization of digital radiographic & fluoroscopic system(DRF). Thus this study designed and implemented a device of storing functional dynamic images real time using a computer rather than existing video recording, aiming at contribution to functional image diagnosis.

• 대한방사선기술학회지:방사선기술과학
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• 제44권3호
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• pp.173-181
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• 2021

The purpose of this study was to reduce dose while maintaining image quality during digital radiographic examination of paranasal sinus by using the automatic exposure control (AEC) system. The tube voltage was set as six stages that increased by about 10 kVp to 70 kVp, 81 kVp, 90 kVp, 102 kVp, 109 kVp and 117 kVp. And then the AEC system conditions were consisted of 9 setting environments, that change mode of the sensitivity (S200, S400, S800) and the density (+2.5, 0, -2.5). We measured automatically exposed tube current (mAs) under 54 conditions with combined these, and assessed SNR and PSNR through the acquired images. In addition, four radiologists performed a qualitative assessment of the acquired images for each combination on a five-point scale of the Likert. As a result, the lowest dose and the highest values of SNR and PSNR in images with a qualitative assessment more than 4 point were the AEC control factors of 90 kVp, S800, D2.5. We applied this condition to the clinical trial, it showed an effect of 83.1% reduction in exposure radiation dose (mR). Therefore, AEC system could be used as dose reduction technology if it understood and used related regulatory factors and physical characteristics.

• 대한디지털의료영상학회논문지
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• 제14권2호
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• pp.23-31
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• 2012

There are AEC mode and fix mode to exposure when the whole spine antero-posterior radiography is done by using DR equipment. This study compared the utility of fix mode to AEC mode, by evaluating organ dose and effective dose and by examining the quality of radiographic image. GE DEFINIUM 8000 and ART-200X Rando Phantom manufactured by Flukebiometical were used for this study. The Rando phantom was set in front of wall detector of X-rays equipment. AEC mode was set at 80kVp and Fix mode was set at 80kVp, 25mAs, 32mAs, 40mAs, and 50mAs. Whole spine AP image were aquired by combining C, T-L and L-S spine images obtained through 3 exposures. When obtaining C, T-L and L-S spine images, were checked for Air kerma (mGy) value calculated by UNFORS Xi meter attached at the phantom surface of center of radiation field. The effective and organ doses were compared by PCXMC program (PC-Based Monte Carlo Program). The quality of obtained radiographic image was evaluated visually by 3 radiologists using resolution chart. When the effective doses was calculated based on tissue weighting factor of ICRP-103, 1.278mSv was measured by AEC mode, and Fix mode measured 0.405mSv at 25mAs, 0.518mSv at 32mAs, 0.649mSv at 40mAs, and 0.810mSv at 50mAS. In addition, the organ dose measured with esposure at 25mAs by Fix mode was almost equivalent to the organ dose by AEC mode, at the esophagus, thyroid, oral mucosa, salivaly glands located at the cervical spine part, while the organ dose by Fix mode was in general lower than the organ dose by AEC mode at the other organs. When Fix mode at 32mAs, 40mAs, and 50mAs was compared to AEC mode for organ dose in 26 organs, AEC mode had higher measurement in 21 organs but not for than brain, trachea, thyroid, oral mucosa, and salivaly glands which are located at the cervical spine part. The image quality evaluated by resolution test chart was much higher with AEC mode than the quality with Fix mode at all exposure conditions. However, while the image quality of cervical spine exposured at 50mAs by Fix mode was lower than the quality of AEC mode, thoraco-lumbar spine and lumbo-sacral spine were calculated and the quality was similar to AEC mode. Scoliosis occurs mainly at thoraco-lumbar and lumbo-sacral spine, not at cervical spine. Compared to AEC mode, Using the appropriate protocol (80kVp, 50mAs) of fix mode for whole spine AP radiography was thought to be useful because the image quality of the thoraco-lumar and lumbo-sacral spine was similar on AEC mode, Also organ and effective doses can be decreased with Fix mode. Therefore, It is considered that fix mode can be used properly with AEC mode for whole spine AP radiography when considering patient's body posture.

• 한국방사선학회논문지
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• 제4권3호
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• pp.5-11
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• 2010

본 논문에서는 이중 에너지 디지털 래디오그래피를 위한 이중 모드 검출기 개발을 제안한다. 이중 에너지 래디오그래피 모듈의 설계를 위하여 상용 BIS(Baggage Inspection System)에서 사용되고 있는 X-선 발생장치의 스펙트럼과 이중 모드 검출기에 대한 특징 및 방사선적 특성을 분석하였다. 제안하는 영상 검출기 모듈은 BIS에서 활용되고 있는 X-선관을 대상으로 X-선 스펙트럼을 모사하고, 모사한 스펙트럼을 통하여 새롭게 제안하는 검출기 모듈의 방사선적 특성을 고찰하였다. X-ray를 이용한 실험에서 구리 필터의 두께 증가에 따라 저에너지 검출기(LED)와 고에너지 검출기(HED)의 출력신호의 차이는 같이 증가하였다. 특히 HED에서의 출력신호의 크기는 구리 필터 두께가 증가 할수록 감소함을 알 수 있었다.

• 한국방사선학회논문지
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• 제14권5호
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• pp.635-642
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• 2020

본 연구에서는 자동노출제어장치(automatic exposure control, AEC)의 채광창 차폐정도와 농도, 감도가 관전류량과 영상품질에 미치는 영향을 분석하였다. 실험에 사용된 장비는 X선관과 간접방식의 디지털검출기가 일체형인 디지털방사선발생장치(Digital Diagnost, Philips, Netherlands)를 사용하였다. 채광창 차폐정도는 3 mm 두께의 납을 이용하여 0%부터 100%까지 12.5%씩 순차적으로 누적 차폐하여 9단계로 구분하였다. 농도는 제조사에서 제시한 3단계(+2.5, 0, -2.5)와 감도 3단계(S200, S400, S800)를 대상으로 하였다. 관전류량 평가는 관전압을 40 kVp로 고정하고 AEC 조절인자들이 교차한 81가지의 조합조건에서 자동 노출된 관전류량을 측정하였다. 영상품질평가는 자체 제작한 원뿔형 피라미드 팬텀의 방사선영상을 육안 평가하여 유효한 영상을 선발하였고 이들의 신호 대 잡음비(signal to noise ratio, SNR)을 측정하였다. 그 결과 관전류량은 채광창 차폐정도가 100%, 감도 S200, 농도 2.5일 때 60.0 mAs로 가장 많이 조사되었으며, 채광창 차폐정도가 0%, 감도 S800, 농도 -2.5일 때 0.9 mAs로 가장 적게 조사되었다. SNR은 채광창 차폐정도가 0%, 감도 S200, 농도 2.5일 때 25.2로 가장 우수하였고, 채광창 차폐정도가 25%, 감도 S800, 농도 -2.5일 때 SNR이 4.7로 가장 낮았다.

• 한국의학물리학회지:의학물리
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• 제21권4호
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• pp.360-366
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• 2010

최근 정밀한 암 치료를 위해 방사선 치료기술이 강도변도 방사선치료, 영상유도 방사선치료 등의 눈부신 발전을 이루어 왔다. 2000년 이후로는 치료실에서 환자의 실제 치료위치를 정확히 파악하여 정밀한 치료를 가능하게 하는 영상 유도방사선 치료기술이 사용되고 있으며 가장 중요한 기술 중 하나가 방사선 치료 전에 다양한 방법의 의료 영상을 이용하여 환자의 치료 위치를 보정하는 것으로 가장 최근의 기술로는 선형가속기에 장착된 2차원 평면검출기를 이용한 콘빔CT (Cone Beam CT: CBCT)가 사용되고 있다. 본 연구에서는 기존의 CBCT의 "half fan" 조건에서 획득된 projection영상을 이용하여 360도 회전한 모든 영상이 아닌 제한된 각도에서 획득한 투사영상을 이용하여 환자의 해부학적 정보를 볼 수 있는 디지털 영상합성영상(Digital Tomosynthesis) 기술을 구현하였고 실제 위치교정을 위해 촬영된 환자 데이터를 이용하여 방사선 치료 환자 위치 교정을 위한 효용성을 검증하였다. 그 결과 동일 단층상에서의 해부학적 정보 표현에서 CBCT 영상과 비교하였을 때 유사성을 보였고 선량적인 측면에서 우월성을 나타냈다. 이러한 DTS의 장점을 극대화 하고 최적화가 이루어진다면 방사선 치료 위치 보정용으로 CBCT를 대체 할 수 있는 기술이 될 수 있을 것이라 기대한다.

• 대한디지털의료영상학회논문지
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• 제14권2호
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• pp.1-8
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• 2012

Purpose : We aim at presenting the optimum radiologic factor through the evaluation of dose variation and of image quality through the use of a grid in Humerus examination and the change of dose because of the change of radiologic factor. Materials and Methods : We divided it in 3 cases: when using a grid or not and when using IP(Image Plate) in a digital system. Also, as fixing kVp to 70kVp it changed mAs, and fixing mAs to 10 it changed kVp, we put up resolution chart and Burger rose phantom on the acrylic phantom of 7cm (the same level of Humerus) to evaluate the dose and image. We used Image J program to evaluate the quantitative resolution of the obtained image, and made the qualitative evaluation and statistical analysis of the image saved in PACS for 20 radiologic technologist with more than 10 years of experience in order of evaluate its contrast. We used SPSS10(SPSS Inc. Chicago, Illinois) for statistical analysis. Results : We observed the analytic result of resolution by the change of kVp that it was $4.539dGycm^2$ in 60kVp and $757.472dGycm^2$ in 75kVp, which increased about 64.6% of dose, while for the resolution it had the pixel value 30.7% better with 851 in 60kVp than 651 in 75kVp. Also, we analyzed the result of resolution by the change of mAs that it was $3.106dGycm^2$ in 5mAs, and $12.470dGycm^2$ in 20mAs, which increased about 400% of dose, while for the resolution DR had 678 in 5mAs, and 724 in 20mAs that increased about 6.8% of resolution. We made the qualitative evaluation of contrast by the change of kVp that DR showed the higher quality than CR, but the contrast by the change of kVp had no special different at the moment of visual evaluation, nor statistically significant difference(P>0.05). We observed the qualitative evaluation of contraste by the change of mAs that the contrast increased as DR increased mAs, and had statistically significant difference(P<0.05). On the other hand, CR had no significant difference for more than 10mAs nor statistically significant difference(P>0.05). Conclusion : In case of some patients with radiographic exposure by the repeated examination such as emergent patient or Follow up patient, they are considered to try to limit the use of a grid, to set kVp under 65kVp in fixed mode, to select less than 10mAs and to reduce the possibility of patient being bombed.