• Korean Journal of Radiology
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• v.21 no.9
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• pp.1095-1103
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• 2020

Objective: The present study aimed to investigate whether quantitative dual-energy computed tomography (DECT) parameters offer an incremental risk stratification benefit over the CT ventricular diameter ratio in patients with acute pulmonary embolism (PE) by using propensity score analysis. Materials and Methods: This study was conducted on 480 patients with acute PE who underwent CT pulmonary angiography (CTPA) or DECT pulmonary angiography (DE CT-PA). This propensity-matched study population included 240 patients with acute PE each in the CTPA and DECT groups. Altogether, 260 (54.1%) patients were men, and the mean age was 64.9 years (64.9 ± 13.5 years). The primary endpoint was all-cause death within 30 days. The Cox proportional hazards regression model was used to identify associations between CT parameters and outcomes and to identify potential predictors. Concordance (C) statistics were used to compare the prognoses between the two groups. Results: In both CTPA and DECT groups, right to left ventricle diameter ratio ≥ 1 was associated with an increased risk of all-cause death within 30 days (hazard ratio: 3.707, p < 0.001 and 5.573, p < 0.001, respectively). However, C-statistics showed no statistically significant difference between the CTPA and DECT groups for predicting death within 30 days (C-statistics: 0.759 vs. 0.819, p = 0.117). Conclusion: Quantitative measurement of lung perfusion defect volume by DECT had no added benefit over CT ventricular diameter ratio for predicting all-cause death within 30 days.

• Journal of radiological science and technology
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• v.47 no.2
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• pp.79-86
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• 2024

This study was to conducted on the general public living in the Busan area to determine their knowledge and awareness of radiation. A questionnaire written in Google Form was distributed, and 193 questionnaires were analyzed. Independent samples t-test and one-way ANOVA were conducted to verify differences in variables according to the characteristics of the study subjects. Correlation analysis was conducted to determine the relationship between variables. Multiple linear regression analysis was conducted to confirm the correlation between variables. As a result of the study, firstly, The knowledge and awareness of radiation and confidence level of radiological information were found to be high among men and unmarried group. Second, as a result of analysis according to occupation, it was found that students had a positive perception of radiation. Third, the Internet and TV are the most commonly used channels for obtaining information about radiation. Lastly, the thing that has the greatest impact on the awareness of radiation is the reliability of the obtained radiation information. In order to relieve excessive anxiety about radiation and to gain a proper understanding of radiation, the reliability of information about radiation is important. Therefore, it is believed that active efforts are needed to provide accurate information about radiation by utilizing media that are widely used by citizens.

• Nuclear Engineering and Technology
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• v.33 no.2
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• pp.231-240
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• 2001

When it is assumed that PWR, CANDU and DUPIC spent fuels are disposed of in deep geological repository, consequent annual individual doses are calculated, and it is shown that doses meet the regulatory limit. From these results, the hazardous radionuclides applicable to partitioning and transmutation are selected. These selected radionuclides such as Tc-99, Ⅰ-129, Cs-135 and Np-237 are then reviewed in terms of partitioning and transmutation. Separation of I-129, Np-237 and Tc-99 from spent fuels is considered desirable, and transmutation of these radionuclides results in remarkable hazard reduction. However, it is concluded that separation and transmutation of Cs-135 may be ineffective although it is classified into a hazardous radionuclide.

• Nuclear Engineering and Technology
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• v.50 no.5
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• pp.806-813
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• 2018

$^{222}Rn$ exists in nature in the form of a rare radioactive gas. In terms of environmental radiation, issues regarding $^{222}Rn$ have persisted because of its radiological hazardousness. Ulju County is one of the regions of Ulsan metropolitan city, with a population of 227,699. Ulju County has the highest density of industrial complexes in Korea. In this study, $^{222}Rn$ radioactivity concentration was measured and analyzed in 57 schools in Ulju County using 114 passive LR-115 type detectors to secure radiological safety and confirm basic information for reduction of resident exposure to $^{222}Rn$. The effective dose of $^{222}Rn$ was assessed to find the actual risk of the concentration surveyed in schools to human beings. The dose depended on four factors: subjects, $^{222}Rn$ concentration, dose coefficient, and time. The individuals subjected to dose estimation were classified into three types: students, teachers, and office workers. The subjects had different dwelling locations and times. The findings demonstrate that the radiological hazard to students and workers at schools in Ulju County owing to $^{222}Rn$ is negligible in terms of $^{222}Rn$ activity recommendation level.

• Nuclear Engineering and Technology
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• v.56 no.6
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• pp.2239-2246
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• 2024

The present study aimed to assess the radioactive hazards associated with the application of granitoid rocks in building materials. An HPGe spectrometer was used to detect the levels of the radioactive elements uranium-238, thorium-232, and potassium-40 in the granitoid rocks. The results showed that the levels of these elements were lower (38.32 < 33 Bq kg^-1), comparable (47.19-45 Bq kg^-1) and higher (992.26 ≫> 412 Bq kg^-1) than the worldwide limits for ²³⁸U, ²³²Th, and ⁴⁰K concentration, respectively. The exposure to gamma radiation of granitoid rocks was studied by various radiological hazard variables like the absorbed dose rate (D_air), the outdoor and indoor annual effective dose (AED_out and AED_in), and excess lifetime cancer risk (ELCR). A variety of statistical methods, including Pearson correlation, principal component analysis (PCA), and hierarchical cluster analysis (HCA) was used, to study the relationship between the radioactive elements and the radiological hazards. According to statistical analysis, the main radioactive risk of granitoid rocks is contributed to by the elements uranium-238, thorium-232, and potassium-40. Granitoid rocks can be applied in building materials, but under control to prevent risk to the public.

• Journal of radiological science and technology
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• v.44 no.6
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• pp.671-677
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• 2021

Interest in the everyday hazards of radon has recently increased as such, this study attempted to examine the dangers of radon in spilled groundwater by comparing the radon concentrations of the drained groundwater and tap water used in recirculating systems in Incheon Subway restrooms. At five stations of Incheon Subway Line 1 and three stations of Line 2, drained groundwater is recirculated and used in restrooms for toilet flushing. Stations restroom tap water for hand washing that used as a control and the measured values of each were compared. With the cooperation of Incheon Transportation Corporation, samples of spilled groundwater and tap water were collected sealed to prevent contact with the air, and a DURRIDGE RAD7 was used as the experimental equipment. The collected samples were subjected to radial equilibration for approximately 3.5 h, at which the radon concentration reached its maximum, and then calculated as 10 measurements using the RAD7 underwater radon measurement mode. In all eight stations, the radon concentration in tap water was lower than the recommended amount. However, in an average of 7 out of the eight stations, the radon concentration in the effluent groundwater was 100 times higher than that in tap water. Since high radon concentrations in groundwater runoff can be harmful to humans, and there is no accurate standard for radon concentrations in domestic water, it is necessary to continuously monitor radon in water and prepare a guidance of recommended values.

• Journal of Gastric Cancer
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• v.15 no.4
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• pp.238-245
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• 2015

Purpose: This study aimed to identify time-dependent prognostic factors and demonstrate the time-dependent effects of important prognostic factors in patients with advanced gastric cancer (AGC). Materials and Methods: We retrospectively evaluated 3,653 patients with AGC who underwent curative standard gastrectomy between 1991 and 2005 at the Korea Cancer Center Hospital. Multivariate survival analysis with Cox proportional hazards regression was used in the analysis. A non-proportionality test based on the Schoenfeld residuals (also known as partial residuals) was performed, and scaled Schoenfeld residuals were plotted over time for each covariate. Results: The multivariate analysis revealed that sex, depth of invasion, metastatic lymph node (LN) ratio, tumor size, and chemotherapy were time-dependent covariates violating the proportional hazards assumption. The prognostic effects (i.e., log of hazard ratio [LHR]) of the time-dependent covariates changed over time during follow-up, and the effects generally diminished with low slope (e.g., depth of invasion and tumor size), with gentle slope (e.g., metastatic LN ratio), or with steep slope (e.g., chemotherapy). Meanwhile, the LHR functions of some covariates (e.g., sex) crossed the zero reference line from positive (i.e., bad prognosis) to negative (i.e., good prognosis). Conclusions: The time-dependent effects of the prognostic factors of AGC are clearly demonstrated in this study. We can suggest that time-dependent effects are not an uncommon phenomenon among prognostic factors of AGC.

• Journal of Radiation Protection and Research
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• v.38 no.2
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• pp.68-77
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• 2013

Derived Investigation levels(DILs) were calculated to protect the workers from the effects of both radiological hazard and chemical toxicity by uranium intake. Investigation Levels(ILs) of committed effective dose of 2 mSv $y^{-1}-6$ mSv $y^{-1}$ and uranium concentration of 0.3 ${\mu}g$ $g^{-1}$ in kidney, based on Korean Nuclaer Safety Act, Korean Occupational Safety and Health Act and current scientific studies of uranium intake were assumed. DILs of radiological hazard and chemical toxicity were then calculated based on the concentration of uranium in air of workplace, the lung monitoring and urine analysis, respectively. As a result, in case of the nuclear fuel fabrication plant where 3.5% enriched uranium is handled, derived investigation level(DIL) for the control of the concentration of uranium in the air of workplace assumed with 15-min acute inhalation was 0.6 mg $m^{-3}$ for all types of uranium. DILs for the control of the average concentration of uranium in air of workplace, assuming an 8-hour workday, were 15.21 ${\mu}g$ $m^{-3}$ of Type F uranium, 0.41-1.23 Bq $m^{-3}$ and 0.13-0.39 Bq $m^{-3}$ for Type M and Type S uranium, respectively. DILs for the lung monitoring assumed with a period of 6-month interval were 0.37-1.11 Bq and 0.39-1.17 Bq in acute and chronic inhalation for Type M, respectively and 0.30- 0.91 Bq and 0.19-0.57 Bq in acute and chronic inhalation for Type S, respectively. Since a detection limit of typical germanium detector for the measurement of 235U activity is 4 Bq, DILs calculated for the lung monitoring were not appropriate. DILs for urine analysis, for which an interval was assumed to be 1 month, were 14.57 ${\mu}g$ $L^{-1}$ based on chemical toxicity after acute inhalation. In addition, acute and chronic inhalation of Type M were calculated 2.85-8.58 ${\mu}g$ $L^{-1}$ and 1.09-3.27 ${\mu}g$ $L^{-1}$ based on the radiological hazard, respectively.

• Journal of Korean Neurosurgical Society
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• v.57 no.2
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• pp.108-113
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• 2015

Objective : Although the L5-S1 has distinct structural features in comparison with other lumbar spine segments, not much is known about adjacent segment degeneration (ASD) at the L5-S1 segment. The aim of study was to compare the incidence and character of ASD of the cephalad and L5-S1 segments after L5 floating lumbar fusion. Methods : From 2005 to 2010, 115 patients who underwent L5 floating lumber fusion were investigated. The mean follow-up period was 46.1 months. The incidence of radiological and clinical ASD of the cephalad and the L5-S1 segments was compared using survival analysis. Risk factors affecting ASD were analyzed using a log rank test and the Cox proportional hazard model. Results : Radiological ASD of the L5-S1 segment had a statistically significant higher survival rate than that of the cephalad segment (p=0.001). However, clinical ASD of the L5-S1 segment was significantly lower survival rates than that of the cephalad segment (p=0.038). Risk factor analysis showed that disc degeneration of the cephalad segment and preoperative spinal stenosis of the L5-S1 segment were risk factors. Conclusion : In L5 floating fusion, radiological ASD was more common in the cephalad segment and clinical ASD was more common in the L5-S1 segment. At the L5-S1 segment, the degree of spinal stenosis appears to be the most influential risk factor in ASD incidences, unlike the cephalad segment.

• Journal of radiological science and technology
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• v.33 no.4
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• pp.321-326
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• 2010

To examine the radioprotective effect of algin-oligosaccharide(AOS), radiation-induced IL(interleukin)-6 in mice treated with 3 Gy whole body irradiation once were examined. In the measurement of irradiation-induced IL-6, in comparison with the irradiation control group, in both small intestine and liver tissues of the group treated with algin-oligosaccharide for 7 days prior to irradiation, was suppressed IL-6 synthesis(p < 0.001). It is considered that the protection against radiation hazard by antioxydative reaction of algin-oligosaccharide results in down control of IL-6 value in experimental groups treated with algin-oligosaccharide. In conclusion, through our study, the fact that algin-oligosaccharide has irradiation protection effects was elucidated, and simultaneously, the possibility of the use of a natural product without chemical toxicity as an irradiation protection agent was confirmed.