• 제목/요약/키워드: Radiation protector

검색결과 28건 처리시간 0.03초

심혈관조영술 및 중재술 시 환자 선량 감소방안 (Patient Exposure Dose Reduction in Coronary Angiography & Intervention)

  • 임도형;안성민
    • 대한방사선기술학회지:방사선기술과학
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    • 제45권1호
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    • pp.69-76
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    • 2022
  • This study, the method of reducing the exposure dose by changing the geometrical requirements among the preceding studies and the method of directly wearing a protector on the patient were used to expose the patient. A comparative experiment was conducted on the method of reducing the dose and the most effective method for reducing the exposure dose was investigated. Using the phantom, the dose of the lens, thyroid gland, and gonad gland in the 5 views most used in coronary angiography and intervention accumulated 5 times for 10 seconds at 60~70 kV, 200~250 mA as an automatic controller of the angiography system, and measured by Optically Stimulated Luminescent Dosimeter(OSLD). SID 100 cm and Cine 15 f/s as a control group the experiment was conducted by dividing the experimental group into 3 groups: a group lowered to Cine 7.5 f/s, a phantom protector, and a group lowered to 95 cm SID. As a result of the experiment, showing decrease in exposure dose compared to the control group. Lowering the cine frame may be the simplest and most effective method to reduce the exposure dose, but there is a limit that it cannot be applied if the operator judges that the diagnostic value is small or feels uncomfortable with the procedure. Conclusion as fallow reducing the exposure dose by directly wearing protector is the next best solution, and it is hoped that the conclusions obtained through this study will help reduce the exposure dose to unnecessary organ.

전산화단층촬영검사 시 검사실 내에 위치할 수 있는 의료인의 간접 피폭선량에 대한 연구 (A Study on the Indirect Radiation Exposure of the Medical Personnel Who is Responsible for Patient Safety in CT Examination)

  • 최민혁;장지성;이기백
    • 대한방사선기술학회지:방사선기술과학
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    • 제42권2호
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    • pp.105-111
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    • 2019
  • A medical personnel could be placed beside a patient together in CT room to do Ambu-bag for a seriously ill patients or emergency patient. At this time, the medical personnel can be exposed indirect radiation unnecessarily. In this case, it is necessary to recognize indirect radiation dose levels and methods to reduce them using actual clinical CT protocols such as Chest, Abdomen, and Brain CT. We researched surface radiation dose with or without radiation protectors such as apron and goggles according to different distances far from gantry using two different CT scanners (Fixed MDCT and mobile CT). As a result, for Chest, Abdomen, and Brain CT with Fixed MDCT, indirect radiation dose on thorax portion were 0.047, 0.089, 0.034 mSv without apron. Also, those with apron were 0.007, 0.012, 0.006 mSv. In case of mobile CT, it was 0.014 mSv without apron and 0.005 mSv with apron. By using protectors and increasing the distance, we could reduce it to 97%. Systematic management is necessary based on the measured data in order to minimize radiation damage due to indirect exposure dose.

두부 CT에서 차폐기법과 새로운 관전류변조기법에 따른 눈의 선량과 화질평가 (The Evaluation of Eye Dose and Image Quality According to The New Tube Current Modulation and Shielding Techniques in Brain CT)

  • 권순무;김정수
    • 한국방사선학회논문지
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    • 제9권5호
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    • pp.279-285
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    • 2015
  • 두부 CT 검사에서 눈의 수정체는 높은 방사선 감수성으로 보호되어야 할 장기 중에 하나이다. 두부 CT 검사에서 눈의 피폭선량감소 목적으로 사용되는 비스무스 차폐체는 현저한 선량 감소 효과가 있지만 화질저하의 문제점이 있다. 본 연구는 인체팬텀을 이용한 두부 CT 검사에서 피폭 선량을 줄이기 위해 사용되는 관전류변조기법인 new organ based-tube current modulation, longitudinal-TCM, angular-TCM과 차폐기법인 비스무스, 납 안경을 사용하여 눈의 선량과 화질의 변화 정도를 평가하였다. 연구결과, new OB-TCM에서 눈의 선량은 25.88% 감소되었으며 비스무스를 사용한 검사와 비교하여 CT number, 노이즈, SNR의 변화가 작은 것을 확인하였다. 따라서 new OB-TCM을 임상의 두부 CT 검사에 적용할 경우, 눈의 피폭선량을 감소시키면서 영상의 화질 저하를 방지할 수 있을 것으로 기대된다.

Differential Functions of Caffeine and Ascorbic Acid in $\gamma-Irradiated$ Male Mice

  • Kim Ji Hyang;Chun Ki-Jung;Yoon Yang Dal;Kim Jin Kyu
    • 환경생물
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    • 제23권4호
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    • pp.398-404
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    • 2005
  • Radioprotection is of practical importance for the normal tissues of tumor patients subject to radiotherapy, people with planned or accidental exposure to radiation, and the public and radiation workers. Since oxygen enhances radiation - induced biological damage, antioxidants should be related with the function as a radioprotectors. Ascorbic acid or caffeine is an essential component and antioxidant in the diet of humans and a small range of other mammals. The present study investigates functional radioprotection of caffeine and ascorbic acid against gamma radiation in irradiated C57BL/6N mice. Eight-week-old male C57BL/6N mice were irradiated with 6.5 Gy. A caffeine treated group was administered with $80mg\;kg^{-1}$ body weight by intraperitoneal injection, a single treatment 1 hr before irradiation. Ascorbic acid was administered $330\;mg\;L^{-1}$ in drinking water through all the experimental period. According to time schedules, animals were sacrificed by cervical dislocation. And the samples were collected 2 weeks after whole- body gamma irradiation. The caffeine treated group showed lower decrement of body and organ weights than the other experimental groups. The qualitative analysis of circulating testosterone in serum was performed by means of radioimmunoassay (RIA). The normal level of circulating testosterone was maintained by the treatment of caffeine and ascorbic acid. The change of weight of body and organ and the appearance of seminiferous tubules were improved by an effect of caffeine or ascorbic acid against irradiation. Taken together, caffeine and ascorbic acid protects impairment of spermatogenesis against gamma radiation and may act as a radio-protector.

Effects of Vitamin E Derivative TMG on the Radiation Protector and Tumor Growth during Radiotherapy

  • Yeun-Hwa Gu;Ryo Matsumoto;Takenori Yamashita
    • Journal of Radiation Protection and Research
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    • 제48권1호
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    • pp.1-8
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    • 2023
  • Background: The purpose of this study is to evaluate the immunosuppressive and antioxidant effects of a novel radioprotective agent using the vitamin E derivative 2-(alpha-D-glucopyranosyl)methyl-2,5,7,8-tetramethylchroman-6-ol (TMG) and its effect on tumors, and to study its usefulness. Materials and Methods: In this study, C57BL/6NCrSlc mice were divided into four groups (control, TMG, radiation therapy [RT], and RT+TMG), using 10 mice in each group. In the TMG and 2 Gy+TMG groups, 500 mg/kg TMG was administered. Two groups (2 Gy and 2 Gy+TMG) among RT and RT+TMG groups were irradiated with 2 Gy in a single fraction, while the other two groups (6 Gy and 6 Gy+TMG) were irradiated locally with 6 Gy in three fractions. Results and Discussion: TMG positively affected CD4+ and CD8+ T lymphocytes. Tumor volumes and growth inhibition rates were compared. In order to evaluate how TMG administration affected tumor growth, Ehrlich cancer cells were injected into the thigh of mice, and the tumor volume and growth suppression rate were compared. Not only RT but also TMG alone inhibited tumor growth. If RT conducted to the mice with TMG, TMG could increase the number of leukocytes, primarily that of lymphocytes. TMG also inhibited tumor growth in addition to RT. Tumor growth was significantly inhibited in the 6 Gy+TMG group. Conclusion: In conclusion, TMG exerted an immunopotentiating effect mainly by increasing the white blood cell numbers including that of lymphocytes. In addition to RT, TMG also inhibited tumor growth. Therefore, TMG is considered to be a useful radioprotective agent in radiotherapy without tumor growth induction.

방사선 피폭 시 간세포의 손상 기전과 알리인의 방어효과 (Study on Radioprotection of Alliin and Damage Mechanism in Hepatocyte After Irradiation)

  • 지태정;김원태
    • 대한방사선기술학회지:방사선기술과학
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    • 제39권4호
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    • pp.623-630
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    • 2016
  • 방사선 피폭에 의한 간조직의 장해는 경화성 위축으로 복수가 발생하고 황달과 피로감이 수반된다. 이러한 장해에는 간세포의 형태학적 변화가 동반되고 소기관들의 손상이 연관되어 있다. 본 연구는 이러한 소기관들의 형태적 손상을 알아보고자 하였다. 특히 에너지 대사와 관련된 미토콘드리아와 세포질그물 핵막을 중심으로 관찰하였으며, 방사선 방어제 연구와 병행하였다. 방어제는 혈류 증가 작용이 있는 알리인을 투여하였다. 세포 관찰은 투과전자현미경을 활용하였다. 실험결과, 7 Gy 전신 조사에서 간세포의 핵막이 비후되고, 소기관들 주변에 염증성 변화가 관찰되었다. 20일 경과된 세포에서는 과산화소체와 미토콘드리아 막이 손상되었고 세포질에서 공포가 확인되었다. 30일 경과된 세포에서는 거대한 지방세포들이 관찰되었고. 조면소포체에는 리보솜이 분리된 것을 확인하였다. 알리인 투여 후 간세포에서는 핵막 주변에 많은 수의 조면소포체들이 선명하게 관찰되었고 핵막도 비후되지 않았다. 세포질에는 공포화되거나 염증성 증후들이 관찰되지 않았다. 미토콘드리아의 막손상도 없었으며 글리코겐도 정상적으로 확인되었다. 따라서 일부 방어효과가 있는 것으로 확인되었다.

TACE의 중재적 시술시 환자의 피폭선량 평가 (The Evaluation of Patients' Radiation Dose During TACE of Interventional Radiology)

  • 이승열;임현수;한만석
    • 대한방사선기술학회지:방사선기술과학
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    • 제34권3호
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    • pp.209-214
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    • 2011
  • TACE의 중재적 시술시 환자와 시술자가 받는 피폭선량을 평가하고, 환자의 피폭선량을 최소화하기 위한 방안을 모색하기 위함이다. 2010년 6월부터 9월까지 중재적 시술의 빈도와 방사선 피폭의 양이 비교적 큰 TACE 시술환자를 대상으로 혈관조영장비(Philips Allura Xper FD 20)와 장비내 장착된 Ionization chamber에 의해 나타나는 DAP(Dose area product)값에 교정상수를 적용시켜 시술시 환자가 받는 유효선량을 근사적으로 얻어냈으며 환자와 시술자의 갑상선과 생식선 주위에 TLD를 부착하여 피폭선량을 산출하고 SPSS 통계에 의한 분석과 평가를 하였다. DAP값에 의해 산출된 TACE 시술시 1인당 ED(Effective Dose)는 평균 18.43${\pm}$6.63 mSv로 나타났으며 이는 전국 평균값의 75%에 해당한다. 또한 TLD에 의해 측정된 환자의 갑상선과 생식선부위의 1인당 평균피폭선량은 각각 0.37 mSv, 0.77 mSv로 나타났으며 보호용구를 착용한 시술자는 환자 1인당 각각 0.07 mSv, 0.01 mSv의 평균피폭선량을 받았다. 시술에 참여하는 모든 의료진들은 법적 선량한도의 적용을 받지 않는 방사선의료피폭에 대해 경각심을 가져야하며, 영상모니터에 실시간으로 표시되는 DAP값을 이용하여 환자의 피폭선량을 고려하며 시술에 임해야하며 시술에 방해가 되지 않는 한도 내에서 환자에게 차폐용구를 적절히 활용해야 한다.

고선량 및 저선량 방사선 피폭에 대한 홍삼의 방사선 방호효과 (Radioprotective Effect of Red Ginseng in Irradiated Mice with High and Low Dose of Radiation)

  • 김성호;오헌;이송은;양정아;정용운
    • Journal of Ginseng Research
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    • 제22권1호
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    • pp.66-72
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    • 1998
  • Studies were performed to determine the effect of Korean red ginseng (extract powder, spray-dried), it is made of choice 6-year-old raw ginseng roots, and processed by steaming and drying, on jejunal crypt survival, endogenous spleen colony formation, and apoptosis in jejunal crypt cells of irradiated mice. Jejunal crypts were protected by pretreatment of red ginseng (1 mg/head, single I.P. at 24hours before irradiation, p<0.05). Red ginseng administration before irradiation (1 mg/head, single I.P at 24hours before irradiation) resulted in an increase of the formation of endogenous spleen colony (p<0.05). The frequency of radiation-Induced apoptosis in intestinal crypt cells was also reduced by treatment of red ginseng both pretreatment (P.O.: 2 mg/ml of drinking water for 7 days, p<0.005, I.P.: 1 mg/head, single I.P. at 24 hours before irradiation, p<0.005) and post-treatment (1 mg/head, single I.P at 30 minutes after irradiation, p<0.05). These results indicated that Korean red ginseng might be a useful radio-protector, especially since it is a relatively nontoxic natural product. Further studies are needed to characterize better the promotion nature of red ginseng and its fractions.

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2-deoxy-D-glucose와 quercetin이 방사선조사 MC3T3-E1 골모세포주의 분화시 bone sialoprotein과 osteocalcin 유전자의 발현에 미치는 영향 (Effects of 2-deoxy-D-glucose and quercetin on the gene expression of bone sialoprotein and osteocalcin during the differentiation in irradiated MC3T3-E1 osteoblastic cells)

  • 이지운;김경아;고광준
    • Imaging Science in Dentistry
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    • 제39권3호
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    • pp.121-132
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    • 2009
  • Purpose : To investigate the effects of 2-deoxy-D-glucose (2-DG) and quercetin (QCT) on gene expression of bone sialoprotein (BSP) and osteocalcin (OC) during the differentiation in irradiated MC3T3-E1 osteoblastic cells. Materials and Methods : When MC3T3-E1 osteoblastic cells had reached 70-80% confluence, cultures were transferred to a differentiating medium supplemented with 5 mM 2-DG or $10{\mu}M$ QCT, and then irradiated with 2, 4, 6, and 8 Gy. At various times after irradiation, the cells were analyzed for the synthesis of type I collagen, and expression of BSP and OC. Results : The synthesis of type I collagen in cells exposed to 2 Gy of radiation in the presence of 2-DG or QCT showed no significant difference compared with the control group within 15 days post-irradiation. When the cells were irradiated with 8 Gy, 2-DG facilitated the irradiation mediated decrease of type I collagen synthesis, whereas such decrease was inhibited by treating with QCT. During MC3T3-E1 osteoblastic cell differentiation, the mRNA expression of BSP and OC showed the peak value at 14 days and 21 days, respectively. 2-DG or QCT treatment alone decreased the level of BSP mRNA, but increased the OC mRNA level only at early time of differentiation (day 7). In the cells irradiated with 2, 4, 8 Gy, the mRNA expression of BSP and OC decreased at 7 days after the irradiation. The cells were treated with various dose of radiation in the presence of 2-DG or QCT, the mRNA level of both BSP and OC increased although this increase was observed at low dose of radiation (2 Gy) and at the early stage of differentiation. However, when the cells were exposed to 4, 6, or 8 Gy, the increase of BSP and OC mRNAs was detected only in cells co-incubated with QCT. Conclusion : This study demonstrates that 2-DG and QCT affect differently the expression of bone formation related factors, type I collagen, BSP, and OC in the irradiated MC3T3-E1 osteoblasic cells, according to the dose of radiation and the times of differentiation. Overall, the present findings suggest that 2-DG and QCT could have the regulatory roles as radiation-sensitizer and -protector, respectively.

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소아 방사선 검사 시 보호자 참여에 대한 인식도 조사 (A Study on the Guardian's Perception of Attending Patient in Pediatric Radiography)

  • 곽종혁;정재범
    • 한국방사선학회논문지
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    • 제8권4호
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    • pp.189-201
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    • 2014
  • 소아 방사선 검사 시 참여 여부와 방사선에 대한 인식도를 파악하여 검사의 질을 향상시키기 위해 부산 P대학병원에 내원한, 소아 아동이 있는 보호자 210명을 대상으로 2013년 8월 20일부터 2013년 9월 15일까지 설문조사하였으며 "과거에 소아 방사선 검사에 참여 해본 적이 있는가?" 라는 질문에 "그렇다"(66.2%)로 나타났고 참여한 이유는 "방사선사의 요청"(66.0%)로 가장 높게 나타났으며 "소아 방사선 검사 시 보호자의 참여가 필요하다고 생각하는가?"라는 질문에 "그렇다"(84.3%)로 나타났으며 그 이유는 "아이의 안정을 위해"(80.8%)였으며 "참여할 생각이 없다면 그 이유는 무엇인가?" 라는 질문에는 "방사선사의 업무이기 때문에"(54.8%)로 나타났다. 보호자의 심리상태 인식도 분석에서는 성별 분석을 보면 여성(3.40)이 남성(3.23)보다 평균이 높게 나타났으며, 소아 연령 분석을 보면 평균이 영아기(3.62)가 다른 소아 연령대보다 높은 것으로 나타났고 학령기(3.34), 유아기(3.25)순으로 나타났으며 통계적으로 유의한 차이가 있었다.(p<0.05) 보호자의 방사선 인식도 분석에서는 성별 분석을 보면 평균이 남성(3.09)이 여성 (2.78)보다 높게 나타났으며, 학력별 분석을 보면 평균은 대학원 (3.36)이 가장 높게 나타났고 전문대졸(2.90), 대졸(2.80), 고졸(2.77) 순서로 나타났으며 통계적으로 유의한 차이가 나타났다.(p<0.05) 보호자의 방사선 피폭 방지에 대한 인식도 분석에서는 연령별로 살펴보면 평균이 20대(3.60)가 가장 높게 나타났으며 50대(3.33), 30대(3.04)의 순으로 나타났고 40대(2.94)가 가장 낮게 나타났으며 성별 분석을 보면 평균이 남성(3.12)은 여성(2.96)보다 높게 나타났고, 소아 연령별 분석을 보면 평균이 영아기(3.27)가 가장 높게 나타났으며 유아기(2.98), 학령기(2.98)로 나타났고, 학력별 분석을 해보면 평균이 대학원(3.31)이 가장 높게 나타났으며 고졸(2.99), 대졸(2.99) 순으로 나타났고 전문대졸(2.94)이 가장 낮게 나타났으며 통계적으로 유의한 차이가 있었다.(p<0.05) 보호자들은 우선적으로 아이의 안정과 정확한 검사를 위해 방사선사와 동반검사가 필요하다고 인식하고 있었으며, 동반검사 전에 검사방법에 대해 숙지를 시키고 보호자에게 보호 장구를 필히 착용시키며 소아의 심리적 불안감을 없애기 위해 검사실의 환경 등을 개선하고 시각적, 청각적으로 편안하게 다가갈 수 있는 방안이 필요할 것으로 사료된다.