• Imaging Science in Dentistry
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• 제33권1호
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• pp.27-33
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• 2003

Purpose : The purpose of this experiment was to evaluate the diagnostic ability of a CCD-based digital system (CDX-2000HQ) in the detection of incipient dental caries. Materials and Methods : 93 extracted human teeth with sound proximal surfaces and interproximal artificial cavities were radiographed using 4 imaging methods. Automatically processed No.2 Insight film (Eastman Kodak Co., U.S.A.) was used for conventional radiography, scanned images of conventional radiograms for indirect digital radiography were used. For the direct digital radiography, the CDX-2000HQ CCD system (Biomedisys Co. Korea) was used. The subtraction images were made from two direct digital images by Sunny program in the CDX-2000HQ system. Two radiologists and three endodontists examined the presence of lesions using a five-point confidence scale and compared the diagnostic ability by ROC (Receiver Operating Characteristic) analysis and one way ANOV A test. Results: The mean ROC areas of conventional radiography, indirect digital radiography, direct digital radiography, and digital subtraction radiography were 0.9093, 0.9102, 0.9184, and 0.9056, respectively. The diagnostic ability of direct digital radiography was better than the other imaging modalities, but there were no statistical differences among these imaging modalities (p > 0.05). Coclusion : These results indicate that new CCD-based digital systems (CDX-2000HQ) have the potential to serve as an alternative to conventional radiography in the detection of incipient dental caries.

• 동력기계공학회지
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• 제15권4호
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• pp.25-30
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• 2011

This study is made to provide with a method for correcting the geometric distortion of the digital radiography image by analytical approach based upon the inverse square law and Beer's law. This study is aimed to find out and improve a mathematic model of nonlinear type. Variations in the alignment of the X-ray source, the object, and imaging plate affect digital radiography images. A model which is expressed in parameter values; e.g, angle, position, absorption coefficient, length, width and pixel account of radiography source, is developed so as to match the sample image. For the best correction of the digital image that is the most similar to the model image, a correction technique based upon tangent is developed; then applied to the digital radiography images of steel tubes. As a result, the image correction is confirmed to be made successfully.

• Imaging Science in Dentistry
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• 제40권4호
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• pp.155-158
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• 2010

Digital radiographic systems allow the implementation of a fully digital picture archiving and communication system (PACS), and provide the greater dynamic range of digital detectors with possible reduction of X-ray exposure to the patient. This article reviewed the basic physical principles of digital radiographic imaging system in dental clinics generally. Digital radiography can be divided into computed radiography (CR) and direct radiography (DR). CR systems acquire digital images using phosphor storage plates (PSP) with a separate image readout process. On the other hand, DR systems convert X-rays into electrical charges by means of a direct readout process. DR systems can be further divided into direct and indirect conversion systems depending on the type of X-ray conversion. While a direct conversion requires a photoconductor that converts X-ray photons into electrical charges directly, in an indirect conversion, lightsensitive sensors such as CCD or a flat-panel detector convert visible light, proportional to the incident X-ray energy by a scintillator, into electrical charges. Indirect conversion sensors using CCD or CMOS without lens-coupling are used in intraoral radiography. CR system using PSP is mainly used in extraoral radiographic system and a linear array CCD or CR sensors, in panoramic system. Currently, the digital radiographic system is an important subject in the dental field. Most studies reported that no significant difference in diagnostic performance was found between the digital and conventional systems. To accept advances in technology and utilize benefits provided by the systems, the continuous feedback between doctors and manufacturers is essential.

• Imaging Science in Dentistry
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• 제35권4호
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• pp.203-205
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• 2005

Purpose: This study was aimed to compare skin entrance dose of digital radiography with that of film radiography and to show the dose reduction achievement with digital systems at 11 dental schools in Korea. Materials and Methods: Forty six intraoral radiographic systems in 11 dental schools were included in this study. Digital sensors were used in 33 systems and film was used in 13 systems. Researchers and the volunteer visited 11 dental schools in Korea. Researchers asked the radiologic technician (s) at each school to set the exposure parameters and aiming the x-ray tube for the periapical view of the mandibular molar of the volunteer. The skin entrance doses were measured at the same exposure parameters and distance by the technician for each system with a dosimeter (Multi-O-Meter : Unfors instruments, Billdal, Sweden). Results: The median dose was $491.2{\mu}Gy$ for digital radiography and $1,205.0{\mu}Gy$ for film radiography. The skin entrance dose in digital radiography was significantly lower than that of film radiography (p<0.05). Conclusion: Fifty-nine percent skin entrance dose reduction with digital periapical radiography was achieved over the film radiography in Korean dental schools.

• 동력기계공학회지
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• 제12권6호
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• pp.70-77
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• 2008

The purpose of this study is to compare the quality of digital radiography image with that of classical film images for welded structure in power plants. The CMOS(Complementary Metal Oxide Semiconductor) flat panel detecter and Agfa D5 film are used to image flaw specimens respectively. In the test, CMOS flat panel detector has been determined to have a better image than that of film image. In the IQI(Image Quality Indicator) transmission test, one or two more line can be seen in digital image than in film image. Digital Radiography Test enabled to successfully detect all defects on the weld specimens fabricated with real reheat stem pipe and boiler tube as well. In the specific comparison test, Digital radiography test detected micro flaws in the size of 0.5 mm in length by 0.5 mm in depth. However, film test has limited it to 1.0 mm in length by 1.0 mm in depth. As a result of this study, digital radiography technology is estimated well enough to perform the inspection in the industry with far more cost effective way, compared to the classical film test.

• 전자공학회논문지
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• 제50권12호
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• pp.247-253
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• 2013

본 연구의 목적은 Direct DR(Digital Radiography), Indirect DR, I.I(Image Intensifier) DR에서 X선 광자 검출 방식에 따른 선량측정 및 획득된 영상을 정량적이고 객관적인 측정을 통해 DR System을 비교 평가 하는 것이다. Rando phantom을 사용하여 입사표면선량을 측정하였으며, 측정된 입사표면선량 값을 통해 PCXMC 프로그램을 사용하여 유효선량과 방사선 조사로 인한 위험을 평가하였다. 21cm 아크릴 phantom을 사용하여 SNR(Signal to Noise Ratio), NPS(Noise Power Spectrum), CNR(Contrast to Noise Ratio)을 측정하였으며, 측정값은 통계학적 분석기법을 사용하여 유의성을 평가하였다. 입사표면선량, 주요장기선량, 유효선량 모두 direct DR이 가장 낮게 측정되었으며, direct DR 선량을 기준으로 I.I type DR은 약 1.3배, indirect DR은 약 2.4배 높은 선량 비율로 측정되었다. 방사선량에 따른 위험도 역시 동일한 비율로 측정되었다. SNR 측정 결과 direct DR측정값을 기준으로 I.I DR은 약 7.25배, indirect DR이 약 1.48배 낮은 비율로 측정되었다. CNR 측정 결과 direct DR 측정값을 기준으로 I.I DR은 약 1.16배 높고, indirect DR이 약 0.87배 낮은 비율로 측정되었다. 따라서 a-selenium 검출소자를 사용하여 X선 광자를 검출하는 방식인 direct DR은 적은 선량으로 우수한 화질의 영상을 구현함으로써 선량에 민감한 소아나 생식선이 포함된 검사 등에 유용할 것으로 사료된다. 또한 많은 진단 정보를 위한 영상 평가가 요구되는 경우에는 indirect DR이 유용할 것으로 판단된다.

• Restorative Dentistry and Endodontics
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• 제27권2호
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• pp.113-121
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• 2002

Conventional intraoral radiography continues to be the most widely used image modality for the diagnosis of dental caries. But, conventional intraoral radiography has several shortcomings, including the difficulty of exposing and processing intraoral film of consistently acceptable quality. In addition, radiographic retaking that was the result of processing errors, may result in increased discomfort and radiation dose to the patient. Recently, various digital radiographies substitute for conventional intraoral radiography to overcome these disadvantages. The advantages of digital radiography are numerous. One of advantages Is the elimination of processing errors. In addition, the radiation dose for digital system is approximately 20% to 25% of that required for conventional intraoral radiography Another potential advantage of digital imaging is the ability to perform image quality enhancements such as contrast and density modulation, which may increase diagnostic accuracy. The purpose of this study was to compare the diagnostic ability of artificial proximal defects to conventional intraoral radiography, direct digital image(CDX2000HQ$^{\circledR}$) and indirect digital image(Digora$^{\circledR}$). Artificial defects were made in proximal surfaces of 60 extracted human molars using #1/2, #1, #2 round bur. Five dentists assessed proximal defects on conventional intraoral radiography, direct digital image(CDX2000HQ$^{\circledR}$) and indirect digital image(Digora$^{\circledR}$). ROC(Receiver Operating Characteristic) analysis and Two-way ANOVA test were used for the evaluation of detectability, and following results were acquired. 1. The mean ROC area of conventional intraoral radiography, direct digital image(CDX2000HQ$^{\circledR}$) and indirect digital Image(Digora$^{\circledR}$) were 0.6766, 0.7538, 0.6791(Grade I), 0.7176, 0.7594, 0.7361(Grade II), and 0.7449, 0.7608, 0.7414(Grade III), respectively. 2. Diagnostic ability of direct digital image was higher than other image modalities. But, there was no statistically significant difference among other imaging modalities for Grade I, II, III lesion(p>0.05). In conclusion, when direct and indirect digital system are comparable with conventional intraoral radiography. these systems may be considered an alternative of conventional intraoral radiography for the diagnosis of proximal surface caries.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1998년도 추계학술대회
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• pp.94-95
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• 1998

We developed a digital x-ray medical imaging system using commercially available amorphous silicon image sensor plate. The image readout could be accomplished within 3.5 sec after radiation exposure and be displayed on a monitor through computer interface. This system needs not the conventional x-ray films and film processors, and also provides digital radiographic images. This system is the fastest digital radiography system developed so far, and expected to replace many of the conventional x-ray film systems or digital radiography systems.

• 대한방사선기술학회지:방사선기술과학
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• 제40권3호
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• pp.363-370
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• 2017

본 연구는 전하결합소자(charged coupled device; CCD), CR (computed radiography), 평판형검출기(flat panel detector; FPD) 등을 사용하는 다양한 디지털 방사선(digital radiography; DR) 시스템의 물리적 영상 특성의 평가를 실시한 것이다. 본 연구에서 적용된 영상 특성은 신호응답특성(system response), 해상력특성(modulation transfer function; MTF), 잡음특성(wiener spectrum; WS), 양자검출효율(detective quantum efficiency; DQE) 등이며 이를 통하여 DR 시스템의 성능을 비교하였다. CCD의 신호응답특성은 입사선량에 비례하여 증가하였으며, CR과 FPD는 입사선량의 증가에 대수적 비례 관계를 보이면서 증가하였다. MTF는 CR과 FPD는 유사한 경향을 나타내었지만 CCD는 떨어지는 값을 나타내었다. WS는 FPD가 가장 낮았고, CR, CCD 순으로 증가하였다. DQE는 FPD, CR, CCD의 순으로 나타났다. DR 시스템은 영상수용체의 종류에 따라 서로 다른 영상 특성이 나타났다. 의료영상 획득 시 DR 시스템을 올바르게 사용하려면 영상의 물리적 특성을 정확히 알고 사용하는 것이 중요하다.

• 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.