• Title/Summary/Keyword: Radiation device

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Salvage of Infected Breast Implants

  • Song, Joon Ho;Kim, Young Seok;Jung, Bok Ki;Lee, Dong Won;Song, Seung Yong;Roh, Tai Suk;Lew, Dae Hyun
    • Archives of Plastic Surgery
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    • v.44 no.6
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    • pp.516-522
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    • 2017
  • Background Implant-based breast reconstruction is being performed more frequently, and implants are associated with an increased risk of infection. We reviewed the clinical features of cases of implant infection and investigated the risk factors for breast device salvage failure. Methods We retrospectively analyzed 771 patients who underwent implant-based breast reconstruction between January 2010 and December 2016. Age, body mass index, chemotherapy history, radiation exposure, and smoking history were assessed as potential risk factors for postoperative infection. We also evaluated the presence and onset of infection symptoms, wound culture pathogens, and other complications, including seroma, hematoma, and mastectomy skin necrosis. Additionally, we examined the mastectomy type, the use of acellular dermal matrix, the presence of an underlying disease such as hypertension or diabetes, and axillary node dissection. Results The total infection rate was 4.99% (58 of 1,163 cases) and the total salvage rate was 58.6% (34 of 58). The postoperative duration to closed suction drain removal was significantly different between the cellulitis and implant removal groups. Staphylococcus aureus infection was most frequently found, with methicillin resistance in 37.5% of the cases of explantation. Explantation after infection was performed more often in patients who had undergone 2-stage expander/implant reconstruction than in those who had undergone direct-to-implant reconstruction. Conclusions Preventing infection is essential in implant-based breast reconstruction. The high salvage rate argues against early implant removal. However, when infection is due to methicillin-resistant S. aureus and the patient's clinical symptoms do not improve, surgeons should consider implant removal.

A Study on Four-year College Curriculum for the Education of Radiological Technology in Korea (방사선학과(放射線學科)의 4년제(年制) 대학(大學) 교육과정(敎育課程)에 대한 연구(硏究))

  • Choi, Jong-Hak;Lee, Sang-Suk;Kim, Young-Il;Kwon, Dal-Gwan;Kim, Heung-Tae;Lim, Han-Young
    • Journal of radiological science and technology
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    • v.18 no.2
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    • pp.87-102
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    • 1995
  • The education of radiologic technology began in the regular institute of higher education in Korea in 1963. Up to now from then, our education to bring up the radiologic technologists has developed greatly in quality and quantity, and now departments of radio-technology are founded in the 16 junior colleges in March, 1995. This study was done to verify the necessity and propriety to reform the education system of radiologic technology which was run as two or three year system of college curriculum for 32 years since 1963, and to search for the method to reform in the future. We got the following results from this research. 1. In the survey, on the desirable education year for radiologic technologists, 63.9 % of professors of department of radio-technology and 63.0 % of radiologic technologists chose the 4 year system, 27.9 % of professors and 34.6 % of radiologic technologists chose the 4 year system added to graduate school. 2. In the survey, on the future development of radiologic equipments and technique, 67.2 % of professors of department of radiologic technology and 86.4 % of radiologic technologists have a view of "revolutional development". Also, on the future tasks or roles of radiologic technologists 95.1% of professors and 94.9% of radiologic technologists have a view that "They will increase". 3. On the necessity of extension of education year to 4 years from 3 years, the factor is that development of medical technique and machinery and tools, advance of qualification of radiologic technologists, enlargement and specialization of the business of the radiologic technologists, ballance of education year with other medical sciences, international competitive power and cooperation of radiologic technology, and education continuation of the graduates of department of radiologic technology. 4. They suggested that in the 4 year curriculum of department of radiologic technology, clinical medicine, quality control of radiation and radiologic equipment, related subjects to the radiologic application and computer application should be enforced and clinical practice should be extended more. 5. On the device to found the 4 year college curriculum of radiologic technology, they suggested that first, 4 year curriculum should be founded through the variety of educational year, secondly, department of radiologic technology should be founded in the 4 year health sciences college, thirdly, educational continuation of the radiologic technologists should be systematized on the basis of life-long education.

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The Tendency of Medical Electrical Equipment - IEC 60601-2-54: Particular Requirements for the Basic Safety and Essential Performance of X-ray Equipment for Radiography and Radioscopy (촬영 및 투시용 X선 장치의 기본안전과 필수 성능에 관한 개별 기준규격의 동향)

  • Roh, Young Hoon;Kim, Jung Min
    • Journal of radiological science and technology
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    • v.38 no.4
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    • pp.331-336
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    • 2015
  • Medical electrical equipment - Part 1: General requirement for basic safety and essential performance of MFDS was revised as 3th edition and Medical electrical equipment Part 2-54: Particular requirements for the basic safety and essential performance of X-ray equipment will be expected to be announced as notification. Therefore this technical report was written to introduce provision of the particular requirements, replacement, addition, amendment. The purpose of this particular requirements is to secure requirements for basic safety and essential performance of X-ray equipment for radiography and radioscopy. X-ray high voltage generator, mechanical protective device, protection against radiation is included in this particular requirements. Medical electrical equipment - Part 1, Part 1-2, Part 1-3 is applied to this particular requirements. If the requirements is announced as notification, It is expected to widen understanding for basic safety and essential performance of X-ray equipment for radiography and radioscopy and play a part to internationalize of medical equipments.

Development of a Spectrum Analysis Software for Multipurpose Gamma-ray Detectors (감마선 검출기를 위한 스펙트럼 분석 소프트웨어 개발)

  • Lee, Jong-Myung;Kim, Young-Kwon;Park, Kil-Soon;Kim, Jung-Min;Lee, Ki-Sung;Joung, Jin-Hun
    • Journal of radiological science and technology
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    • v.33 no.1
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    • pp.51-59
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    • 2010
  • We developed an analysis software that automatically detects incoming isotopes for multi-purpose gamma-ray detectors. The software is divided into three major parts; Network Interface Module (NIM), Spectrum Analysis Module (SAM), and Graphic User Interface Module (GUIM). The main part is SAM that extracts peak information of energy spectrum from the collected data through network and identifies the isotopes by comparing the peaks with pre-calibrated libraries. The proposed peak detection algorithm was utilized to construct libraries of standard isotopes with two peaks and to identify the unknown isotope with the constructed libraries. We tested the software by using GammaPro1410 detector developed by NuCare Medical Systems. The results showed that NIM performed 200K counts per seconds and the most isotopes tested were correctly recognized within 1% error range when only a single unknown isotope was used for detection test. The software is expected to be used for radiation monitoring in various applications such as hospitals, power plants, and research facilities etc.

Design and Performance Evaluation of Small Size Counting and Imaging Gamma Probe System (소형 계수용 및 영상용 감마프로브 시스템의 설계와 성능평가)

  • Yang, Myo-Geun;Kwark, Cheol-Eun;Sim, yong-Geol;Kim, Hee-Joung;Choi, Yong;Chung, Jung-Key;Lee, Myung-Chul;Koh, Chang-Soon
    • Journal of Biomedical Engineering Research
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    • v.18 no.3
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    • pp.291-299
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    • 1997
  • As a microimaging device detecting gamma rays emitted from small lesions or tumors during operation, the intraoperative surgical probe has been proposed and is now under development. We have designed a multipurpose portable gamma prove system and evaluated the performance both for the absolute counting purpose of residual radioactivities and for the localizing capability of gamma events using the NaI(Tl) crystal and two types of photomultiplier tubes(PMTs). Counting efficiencies in the range of routine clinical use of radiation dose were measured using the assembly of single channel PMTs and 0.5 inch thick NaI(Tl) crystal of 1 inch diameter. The positioning of gamma events for imaging purpose requires the multiple channel PMTs with appropriate positioning electronics. We have designed a simple and reliable positioning circuit based on the concept of modified Anger. In preliminary experiments using the multiple channel PMT of 3 inch diameter and the dim lighth source, we were able to trace and localize the correct position with reduced positioning error by the use of two multiplier/divider chipset and simplified peripherals. The energy resolutions for the counting gamma probe measured as full width at half maximum(FWHM) for Cs-137, F-18, Tc-99m were 12%, 13%, and 36%, respectively. The spatial resolution for the imaging gamma probe measured as FWHM for green LED was 2.9 mm. The results indicate that the currently developing probe is very promising and could be very useful for many applications in nuclear medicine. Future studies will include developing collimators, improving interface hardwares, and evaluating the system with clinical data.

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CdZnTe Detector for Computed Tomography based on Weighting Potential (가중 퍼텐셜에 기초한 CT용 CdZnTe 소자 설계)

  • Lim, Hyunjong;Park, Chansun;Kim, Jungsu;Kim, Jungmin;Choi, Jonghak;Kim, KiHyun
    • Journal of radiological science and technology
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    • v.39 no.1
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    • pp.35-42
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    • 2016
  • Room-temperature operating CdZnTe(CZT) material is an innovative radiation detector which could reduce the patient dose to one-tenth level of conventional CT (Computed Tomography) and mammography system. The pixel and pixel pitch in the imaging device determine the conversion efficiency of incident X-or gamma-ray and the cross-talk of signal, that is, image quality of detector system. The weighting potential is the virtual potential determined by the position and geometry of electrode. The weighting potential obtained by computer-based simulation in solving Poisson equation with proper boundaries condition. The pixel was optimized by considering the CIE (charge induced efficiency) and the signal cross-talk in CT detector system. The pixel pitch was 1-mm and the detector thickness was 2-mm in the simulation. The optimized pixel size and inter-pixel distance for maximizing the CIE and minimizing the signal cross-talk is about $750{\mu}m$ and $125{\mu}m$, respectively.

Study on the Emission Characteristics of Air Pollutants from Agricultural Area (농업지역(밭) 암모니아 등 대기오염물질 계절별 모니터링 연구)

  • Kim, Min-Wook;Kim, Jin-Ho;Kim, Kyeong-Sik;Hong, Sung-Chang
    • Korean Journal of Environmental Agriculture
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    • v.40 no.3
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    • pp.211-218
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    • 2021
  • BACKGROUND: Fine particulate matter (PM2.5) is produced by chemical reactions between various precursors. PM2.5 has been found to create greater human risk than particulate matter (PM10), with diameters that are generally 10 micrometers and smaller. Ammonia (NH3) and nitrogen oxides (NOx) are the sources of secondary generation of PM2.5. These substances generate PM2.5 through some chemical reactions in the atmosphere. Through chemical reactions in the atmosphere, NH3 generates PM2.5. It is the causative agent of PM2.5. In 2017 the annual ammonia emission recorded from the agricultural sector was 244,335 tons, which accounted for about 79.3% of the total ammonia emission in Korea in that year. To address this issue, the agricultural sector announced the inclusion of reducing fine particulate matter and ammonia emissions by 30% in its targets for the year 2022. This may be achieved through analyses of its emission characteristics by monitoring the PM2.5 and NH3. METHODS AND RESULTS: In this study, the PM2.5 concentration was measured real-time (every 1 hour) by using beta radiation from the particle dust measuring device (Spirant BAM). NH3 concentration was analyzed real-time by Cavity Ring-Down Spectroscopy (CRDS). The concentrations of ozone (O3) and nitrogen dioxide (NO2) were continuously measured and analyzed for the masses collected on filter papers by ultraviolet photometry and chemiluminescence. CONCLUSION: This study established air pollutant monitoring system in agricultural areas to analyze the NH3 emission characteristics. The amount of PM2.5 and NH3 emission in agriculture was measured. Scientific evidence in agricultural areas was obtained by identifying the emission concentration and characteristics per season (monthly) and per hour.

A Study on the Fabrication of bone Model X-ray Phantom Using CT Data and 3D Printing Technology (CT 데이터와 3D 프린팅 기술을 이용한 뼈 모형 X선 팬텀 제작에 관한 연구)

  • Yun, Myeong Seong;Han, Dong-Kyoon;Kim, Yeon-Min;Yoon, Joon
    • Journal of the Korean Society of Radiology
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    • v.12 no.7
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    • pp.879-886
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    • 2018
  • A 3-dimensional (D) printer is a device capable of outputting a three-dimensional solid object based on data modeled in a computer. These features are utilized in the bone model X - ray phantom production etc using CT data by fusing with the radiation science field. A bone model phantom was made using data obtained by CT scan of an existing Pelvis phantom, using PLA, Wood, XT-CF20, Glow fill, Steel filaments which are materials of Fused Filament Fabrication (FFF) 3D printer.Measure Hounsfield Unit (HU) with images obtained by CT scan of the existing Pelvis phantom and five material phantoms made with 3D printer under the same conditions,SI and SNR were measured using a diagnostic X-ray generator, and each phantom was compared and analyzed.As a result, the X - ray phantom in the X - ray examination condition of the limb was found to be most suitable for the glow fill filament.The characteristics of the filament can be known to the base of this research and the practicality of X - ray phantom fabrication was confirmed.

Assessment of the Caries Detection Ability of Quantitative Light-induced Fluorescence (QLF) in Primary Teeth in vitro (유치의 치아우식증 확인을 위한 정량형광분석(QLF) 검사법의 우식탐지능력 평가)

  • Cho, Kyung Hyun;Kang, Chung-Min;Jung, Hoi-In;Lee, Tae Yang;Song, Je Seon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.1
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    • pp.65-75
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    • 2022
  • The aim of this study was to evaluate QLF (quantitative light-induced fluorescence) technology for the caries detection in primary teeth and validate the relationships between the cavity volume of carious lesions and QLF analysis results. Total 125 tooth surfaces include 53 occlusal surfaces, and 72 proximal surfaces were investigated with the portable QLF device for detection of dental caries in primary molars. Micro-CT radiograph was also performed to classify carious lesions and calculate the cavity volume. QLF showed good accuracy and reliability (sensitivity 0.75 - 0.94, specificity 0.82 - 0.95, and AUROC 0.88 - 0.98) for the caries detection in primary teeth except 𝚫R average results of proximal caries which showed relatively low values. Statistically significant relationships were found between 𝚫F average, QS-Index and the cavity volume according to Spearman rank-order correlation coefficients (r = 0.805 - 0.832, p < 0.001). QLF detection method would be a harmless and reliable way for children to diagnose dental caries without the concern about radiation exposure.

Image Evaluation of Projection Method in Chest Radiography (흉부 엑스선 촬영 시 촬영기법에 따른 영상 평가)

  • Ahn, Byung-Ju;Lee, Jun-Haeng
    • Journal of the Korean Society of Radiology
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    • v.16 no.3
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    • pp.217-223
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    • 2022
  • In this study, images taken using a grid and images taken using Air Gap Technique were evaluated in X-ray chest radiography. Subjective Evaluation The ROC (Receiver Operating Characteristic) evaluation was evaluated by 5 radiologists who had worked for more than 10 years in the radiology department of a university hospital. Objective evaluation SNR (Signal to noise ratio) was evaluated. As a result of the analysis, the Cronbach Alpha value was 0.714, which was significantly higher. In the Air Gap Technique, the distance between the phantom and the subject was set at 20 cm, and the image was taken with a tube voltage of 100 kVp, a tube current and a recording time of 8 mAs. In the ROC (Receiver Operating Characteristic) evaluation, the highest score was obtained with 18 score and an objective evaluation SNR (signal to noise ratio) of 6,149 scored. Also, in the imaging method using a grid, when the distance between the phantom and the constant receptor is 15 cm apart, and the tube voltage is 110 kVp, the tube current and the recording time are taken at 8 mAs, the ROC evaluation score is 19 and the objective evaluation SNR (Signal to noise ratio) is the highest with 6.622 scored. Therefore, if the Air Gap Technique imaging method is used, which overcomes the shortcomings such as delay in reading, increase in patient's exposure dose, and shortening of mechanical lifespan, as well as re-radiography due to the cut-off phenomenon of the grid that appears using the grid, the It is thought that it will be very helpful for chest imaging, including the case of using a portable X-ray imaging device.