• 제목/요약/키워드: Radiographic

검색결과 2,436건 처리시간 0.027초

응급환자의 방사선영상검사 분포 및 Patient Care (The Distribution and Patient Care in Radiography for Emergency Outpatients)

  • 이환형;강원한
    • 대한방사선기술학회지:방사선기술과학
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    • 제19권1호
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    • pp.55-74
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    • 1996
  • This study was carried out to improve service efficiency and to cope with a emergency situation in emergency radiography, through analysis of the radiographic distribution and literature cited about emergency care. Data collection of radiographic distribution was surveyed for 761 emergency outpatients who visit during JAN, 1994 at ER of the general hospital in Pusan city. The results is as follows: Emergency radiography rate of simple radiography was 61.1 %, special radiography 2.5 %, CT 12.6 %, and ultrasonography 6.7 %. In simple radiography rate, a high rate was distributed on male(63.6 %), thoracicsurgery part(90.0%), admission patient(74.9 %), and long stayed patient at ER. In special raiography rate, a high rate was observed in urologic part(28.6%), and in CT rate, observed neurosurgery part(49.2 %) and neurologic part(36.7%). Ultrasonography rate was high for female(8.8 %) and internal medicine part(15.9 %). There are distributed regional radiography rate in radiographic type that chest(55.3 %) is high in the simple radiography, urinary system(1.2%) in the special study, and brain(40.0 %) in the CT. Regional radiography rate according to diagnostic department also was showed highly for head(64.6%) in neurosurgery, chest(90.0%) in thoracic-surgery, abdomen(58.0%) in general-surgery, spine (40.0% ) in neuro-surgery, and pelvis(15.9%), upper extrimity(20.5%), and lower extrimity(31.8%) in orthopedic-surgery each. Mean radiographic case number per patient of simple radiography was sinificant on sex, age, transfer relation in both total and radiographic patients(p<0.05). Mean radiographic case number was highly distributed on male(2.2 case number) in sex, on thirties(2.7) in age, transfered patient(2.7) in patient type, and on neurosurgery(3.4) in diagnostic charged part. Total radiographic case number in regional part was highly distributed on chest(499 case number). Considering the above results, emergency radiographer should take care of the elder patient in emergency radiography and get hold of injury mechanism to decrease possible secondary injury during radiography. Because of high radiography rate of urinary system in special study, radiographer should know well about dealing with contrastmedia administration and related instrument. All radiographer who take charge emergency patient should cope with a emergency situation during radiography, Because head trauma patients is very important in patient care, especilly in CT at night, charged doctor should be always silted with CT room and monitoring-patient. Radiography was reqested by many diagnostic department in ER. Considering that rate of simple radiography is high, special room for emergency radiography should be established in ER area, and the radiographer of this room should be stationed radiologic technician who is career and can implement emergency patient care.

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A dose monitoring system for dental radiography

  • Lee, Chena;Lee, Sam-Sun;Kim, Jo-Eun;Symkhampha, Khanthaly;Lee, Woo-Jin;Huh, Kyung-Hoe;Yi, Won-Jin;Heo, Min-Suk;Choi, Soon-Chul;Yeom, Heon-Young
    • Imaging Science in Dentistry
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    • 제46권2호
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    • pp.103-108
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    • 2016
  • Purpose: The current study investigates the feasibility of a platform for a nationwide dose monitoring system for dental radiography. The essential elements for an unerring system are also assessed. Materials and Methods: An intraoral radiographic machine with 14 X-ray generators and five sensors, 45 panoramic radiographic machines, and 23 cone-beam computed tomography (CBCT) models used in Korean dental clinics were surveyed to investigate the type of dose report. A main server for storing the dose data from each radiographic machine was prepared. The dose report transfer pathways from the radiographic machine to the main sever were constructed. An effective dose calculation method was created based on the machine specifications and the exposure parameters of three intraoral radiographic machines, five panoramic radiographic machines, and four CBCTs. A viewing system was developed for both dentists and patients to view the calculated effective dose. Each procedure and the main server were integrated into one system. Results: The dose data from each type of radiographic machine was successfully transferred to the main server and converted into an effective dose. The effective dose stored in the main server is automatically connected to a viewing program for dentist and patient access. Conclusion: A patient radiation dose monitoring system is feasible for dental clinics. Future research in cooperation with clinicians, industry, and radiologists is needed to ensure format convertibility for an efficient dose monitoring system to monitor unexpected radiation dose.

악관절장애 환자의 임상 및 측사위경두개 촬영에 의한 진단과 자기공명영상에 의한 진단의 비교연구 (VALIDITY OF CLINICAL, TRANSCRANIAL RADIOGRAPHIC AND MAGNETIC RESONANCE IMAGING METHOD IN THE DIAGNOSIS OF INTERNAL DERANGEMENT OF TEMPOROMANDIBULAR JOINT)

  • 최정희;정현대
    • 치과방사선
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    • 제21권2호
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    • pp.327-336
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    • 1991
  • The purpose of this study was to evaluate the validity among the clinical, transcraial radiographic and MRI diagnosis in internal derangement of the temporomandibular joint. Fourty two temporomandibular joints were assessed in twenty one patients who visited the dental department of Chonnam National University Hospital with the complaint of temporomandibular disorder from Oct. 1990 to Oct. 1991. The results were as follows: 1. In the clinically symptomatic 29 TMJs, 26 (89.7%) joints reveal disc displacement and 3 (10.3%) joints reveal normal disc position on MRI. The sensitivity of clinical diagnosis was 0.77, and the specificity was 0.63. 2. In the normal 22 TMJs on the trans cranial radiographic finding, 16 (72.7%) joints reveal disc displacement, and 6 (27.3%) joints reveal normal disc position on MRI. In the abnormal 20 TMJs on the transcranial radiographic finding, 18 (90%) joints reveal disc displacement, and 2 (10%) joints reveal normal disc position on MRI. The sensitivity of trans cranial radio- graph was 0.53, and the specificity was 0.75.

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백악종에 관한 방사선학적 연구 (A RADIOGRAPHIC STUDY OF CEMENTOMA)

  • 황의환;이상래
    • 치과방사선
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    • 제16권1호
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    • pp.113-126
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    • 1986
  • This study was undertaken to document and better define this condition to help clarify this clinical and radiographic appearances by the analysis of clinical and radiographic features of cementoma. A study was made of a series of 104 cases with cementoma. This investigation of cementoma revealed the following features: 1. The female occurred in 73% of periapical cemental dysplasia and benign cementoblastoma, and 80% of cementifying fibroma. 2. 40% of periapical cemental dysplasia occurred in the fifth decades, and 73% of benign cementoblastoma during the second and third decades, while there was no age predilection in the cementifying fibroma. 3. 63% of periapical cemental dysplasia occurred in the mandibular anterior region. 91% of benign cementoblastoma and 80% of cementifying fibroma occurred in the mandibular premolar and/or molar region. 4. There were no cases complaining the associated clinical signs and subjective symptoms in the periapical cemental dysplasia, however the patient complained the pain in 36% of benign cementoblastoma and 40% of cementifying fibroma. 5. There were no cases expanding the cortical plates in the periapical cemental dysplasia, however 73% of benign cementoblastoma and all of 5 cases of cementifying fibroma showed the expansion of cortical plates. 6. Several radiographic features of the periapical cemental dysplasia were shown: a. 29% of the cases had multiple lesions. b. 53% of the cases were in the mature stage. c. During the osteolytic stage, the alveolar lamina dura was lost in 89% of the cases.

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악관절 방사선 촬영법에 따른 과두위 분석에 관한 비교 연구 (A COMPARATIVE STUDY ON ASSESSMENT OF CONDYLAR POSITION BY THE TMJ RADIOGRAPHY)

  • 이진홍;박창서
    • 치과방사선
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    • 제16권1호
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    • pp.81-91
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    • 1986
  • The author obtained the trans cranial radiographs of right and left side and the individualized lateral tomograms of right and left side after the analysis of submental vertex view from 8 young adults of 25-32 years with normal occlusion. The condylar position from 32 radiographs of normal TMJs were assessed with each measurement methods. All datas from these analyses were recorded and statistically processed with CYBER computer system. The results were obtained as follows. 1. In each measurement methods, the area measurements using the midpoint fossa and the midpoint condyle revealed the hightest concordance rate between the radiographic pairs. 2. In the subjective evaluation, the qualitative concordance existed in 44% and the full concordance existed in 25%, so it was found that concordance rates were relatively low between the radiographic pairs. 3. In each measurement methods, the area measurement using the midpoint fossa revealed the strongest correlation between the radiographic pairs. 4. The correlations between the area measurement using the midpoint fossa and subjective valuation revealed relatively strong value which is 0.926 in the trans cranial radiographic series and the lowest value which is 0.743 in the tomographic series.

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Eosinophilic granuloma in the anterior mandible mimicking radicular cyst

  • Lee, Byung-Do;Lee, Wan;Lee, Jun;Son, Hyun-Jin
    • Imaging Science in Dentistry
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    • 제43권2호
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    • pp.117-122
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    • 2013
  • Eosinophilic granuloma is a common expression of Langerhans cell histiocytosis and corresponds with typical bone lesions. The radiographic appearance of eosinophilic granuloma in the jaw is variable and not specific. It may resemble periodontitis, radicular cyst, or malignancies. The purpose of this report is to describe the characteristic radiographic features of eosinophilic granuloma of a 39-year-old male. The lesion in the anterior mandible was first diagnosed as radicular cyst because the radiographic findings were ovoid radiolucent lesion with well-defined border. However, careful interpretation revealed a non-corticated border and floating tooth appearance that were the characteristic radiographic features for the differential diagnosis. Early clinical signs of eosinophilic granuloma can occur in the jaw and a bony destructive lesion might be mistaken for periodontitis or an odontogenic cystic lesion; therefore, careful interpretation of radiographs should be emphasized.

Squamous cell carcinoma arising within a maxillary odontogenic keratocyst: A rare occurrence

  • Jalali, Elnaz;Ferneini, Elie M.;Rengasamy, Kandasamy;Tadinada, Aditya
    • Imaging Science in Dentistry
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    • 제47권2호
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    • pp.135-140
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    • 2017
  • Squamous cell carcinoma (SCC) arising within the lining of an odontogenic keratocyst (OKC) is a rare occurrence. Although potentially locally destructive, OKC is a benign odontogenic process that typically presents with clinical and radiographic features characteristic of a benign intraosseous neoplasm. We present the clinical and radiographic features of a maxillary mass that demonstrated SCC arising from the lining of an OKC. Although the initial clinical and radiographic presentation suggested an infection or malignant neoplasm, biopsies revealed an infiltrative well-differentiated SCC contiguous with and arising from the focus of a pre-existing OKC. The patient subsequently underwent a type II hemi-maxillectomy with neoadjuvant chemoradiation. This report discusses the clinical and radiographic features associated with intraosseous malignancies, especially those arising from an otherwise benign odontogenic lesion. While the majority of OKCs are benign, the current report illustrates the potential for carcinomatous transformation within the lining of an OKC.

대퇴부 방사선영상에서 대퇴골 근위부의 형태학적 측정과 골소주의 특성을 이용한 골다공증 예측에 관한 연구 (A Study of Osteoporosis Prediction using Morphological Measuring of Proximal Femoral Part and Trabecular Characteristics Based on Femoral Radiographic Image)

  • 김성민;노승규;노용만
    • 전기학회논문지
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    • 제59권4호
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    • pp.823-830
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    • 2010
  • This study was designed to examine the morphological measurement and characteristics of trabecullae based on femoral radiographic image for prediction of osteoporosis. Study subjects were 34 females (average age of 62.1 years) and 6 males (average age of 60.1 years), they were categorized into normal group and osteoporosis group in accordance with the T-score value. Measurement of the bone density of femoral bone was measured with DEXA(Dual Energy X-ray absorptiometry). ROI(Region of interests) was selected on femoral neck and trochanter. Characteristics of trabecullae was analyzed by using the skeletonization analysis of trabecular image. Morphological measurement was analyzed through femoral radiographic image in order to examine the correlation with osteoporosis. The result demonstrated statistically significant correlation between neck cortical thickness, shaft width, shaft cortical thickness, periphery, mean gray level and trabeculae area with BMD average (T-score) of femoral part. The results show that morphological measurement and characteristics of trabecullae based on femoral radiographic images for osteoporosis prediction could be effective.

Radiation effect on peri-implant tissue after implantation

  • Kweon, Hyeog-Sin;Song, Kwang-Yeob
    • 대한치과보철학회지
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    • 제38권3호
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    • pp.291-309
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    • 2000
  • Statement of problem. There were several studies on the effects of irradiation to peri-implant bone tissue. However, no clear biological effect of irradiation on peri-implant bone tissue was reported yet. Purpose. This study compared the effect of irradiation on the surrounding tissue of a HA-coated implant fixture with controls. Material and methods. 6 Steri-Oss implants were implanted into the femur of 6 mongrels. The implanted dogs were divided into three groups and received irradiation. After 1 month, 2months and 4 months healing period, the histologic examination and mobility test and digital radiographic imaging analyses were performed to compare the control and experimental group respectively. Results. The irradiated group showed slower healing than control group in light microscopic observations. The mobility test demonstrated significant less number (Periotest) in control group than that of irradiated groups. The digital radiographic imaging analysis showed that the bone density of irradiated group was higher than control group. Conclusion. Generally, control group showed favorable biological response and less mobility than irradiated group. The conflict result of bone density value were measured by the digital radiographic imaging analysis. The digital radiographic imaging analysis needs more research in future.

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무릎뼈 높이에 대한 도수측정방법의 신뢰도와 타당도 (Reliability and Validity of the Manual Measurement Method for Patellar Height)

  • 김문환;윤성준;원종혁
    • 한국전문물리치료학회지
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    • 제20권3호
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    • pp.54-61
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    • 2013
  • This study was to determine the reliability and validity of manual measurements of patellar height to standard radiographic measurements in 30 knees of 15 subjects. Patellar height was measured using manual and radiographic methods. The manual measurements were performed by two examiners using digital vernier calipers with the subject sitting and the knees in $30^{\circ}$ of flexion. The radiographic measurements were performed in the same position. The reliability of the manual measurements was assessed by means of intraclass correlation coefficients [ICC(3,1)], and the validity was investigated using the Pearson's product-moment correlation coefficient and an independent t-test. The intra- and inter-rater reliabilities of the manual measurement of patellar height were excellent (ICC=.86 and .88 respectively). The validity of patellar height measured manually compared to the radiographic method was good (Pearson's r=.69). In conclusion, the manual method is an objective, qualitative measurement of patella height.