• 제목/요약/키워드: Radiological risk

검색결과 391건 처리시간 0.027초

성인에서 총경동맥 내중막 두께와 심혈관질환 위험인자와의 관련성 (Association of Carotid Artery Intima-Media Thickness and Cardiovascular Risk Factors in Adult)

  • 김미영;김화선;김신영
    • 대한방사선기술학회지:방사선기술과학
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    • 제36권1호
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    • pp.25-30
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    • 2013
  • 경동맥 내중막 두께의 증가는 죽상경화증의 조기 표지자이며 관상동맥 질환과 뇌혈관 질환의 강력한 예측자이다. 이 연구의 목적은 성인에서 총경동맥 내중막 두께와 심혈관질환 위험인자들 사이의 연관성을 알아보고자 하였다. 총 134명을 대상으로 초음파를 이용하여 총경동맥 내중막 두께를 측정하였으며, 신체계측과 혈액검사를 시행하여 다음과 같은 결과를 얻었다. 연구결과 남성의 내중막 두께가 여성에 비해 더 두꺼운 것으로 나타났으며, 연령이 증가함에 따라 내중막 두께도 유의하게 증가하는 것으로 나타났다. 혈중지질 중 총 콜레스테롤과 동맥경화지수가 내중막 두께와 유의한 양의 상관관계가 있는 것으로 나타났다. 이상의 결과를 정리하면 성인에서 심혈관질환 위험인자는 총경동맥 내중막 두께 증가와 연관성이 있는 것으로 나타났다.

낮은 칼슘 수치에서 심혈관질환의 잠재 위험도 평가 (Potential Risk Assessment of Cardiovascular Disease in Low Calcium-Score)

  • 유행수;박지군;정봉재;노시철;최일홍;정형진;강상식
    • 한국방사선학회논문지
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    • 제7권6호
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    • pp.369-376
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    • 2013
  • 심혈관 질환의 위험도를 조기에 발견해 예방하기 위한 다양한 시도들이 이루어지고 있는 데 질환자를 대상으로 한 많은 연구를 통해 관상동맥 석회화의 판정기준이 마련되었으나 수치가 100 이상이 되어야 진행의 흐름을 예상할 수 있었다. 이에 본 연구는 자각증상이 없는 일반인을 대상으로 칼슘 수치와 체성분 분석, 혈중지질 수치의 상관관계를 수치화하여 기존 연구와 비교분석하여 칼슘 수치가 낮을 때에도 잠재적인 심혈관 질환의 위험성을 나타낼 수 있을지에 대한 평가를 해 보았다. 연구 결과 체성분 분석에서 칼슘수치가 0-10일 때 와 칼슘수치가 11-100일 때 유의한 상관관계가 있는 BMI와 WHR을 살펴보면 정상범위의 빈도수가 많아 평균값이 정상범위에 머물렀으나 21%의 상대적인 위험률이 도출되었으며 지질검사에서도 유의한 상관관계가 있는 HDL과 TG를 살펴보면 정상범위의 빈도수가 많아 평균값이 정상범위에 머물렀으나 21-40%의 상대적인 위험률이 도출되었다. 또한 상관관계가 없는 BFM과 BMR에서는 표준이상에서 빈도수가 높아 평균값도 높게 나타났으며 상대적 위험도가 31-93%로 도출되었으며 지질검사에서 상관관계가 없는 TC가 200 mg/dl이상으로 죽상동맥경화증의 발생이 급격히 증가하여 LDL값이 높게 나타났으며 죽상경화증의 발생을 억제하기 위해 이미 생긴 죽종에서 콜레스테롤을 제거하는 작용을 하는 HDL의 값도 동시에 증가한 것으로 보인다. 이 때의 상대적 위험률은 43-50%로 도출되었다. 즉 칼슘 수치가 낮을 때에도 심혈관 질환의 발생률이 내재되어 있음을 알 수 있었다.

Organ dose reconstruction for the radiation epidemiological study of Korean radiation workers: The first dose evaluation for the Korean Radiation Worker Study (KRWS)

  • Tae-Eun Kwon;Areum Jeong;Wi-Ho Ha;Dalnim Lee;Songwon Seo;Junik Cho;Euidam Kim;Yoonsun Chung;Sunhoo Park
    • Nuclear Engineering and Technology
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    • 제55권2호
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    • pp.725-733
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    • 2023
  • The Korea Institute of Radiological and Medical Sciences has started a radiation epidemiological study, titled "Korean Radiation Worker Study," to evaluate the health effects of occupational exposure to radiation. As a part of this study, we investigated the methodologies and results of reconstructing organ-specific absorbed doses based on personal dose equivalent, Hp(10), reported from 1984 to 2019 for 20,605 Korean radiation workers. For the organ dose reconstruction, representative exposure scenarios (i.e., radiation energy and exposure geometry) were first determined according to occupational groups, and dose coefficients for converting Hp(10) to organ absorbed doses were then appropriately taken based on the exposure scenarios. Individual annual doses and individual cumulative doses were reconstructed for 27 organs, and the highest values were observed in the thyroid doses (on average 0.77 mGy/y and 10.47 mGy, respectively). Mean values of individual cumulative absorbed doses for the red bone marrow, colon, and lungs were 7.83, 8.78, and 8.43 mSv, respectively. Most of the organ doses were maximum for industrial radiographers, followed by nuclear power plant workers, medical workers, and other facility workers. The organ dose database established in this study will be utilized for organ-specific risk estimation in the Korean Radiation Worker Study.

Dual-Energy CT for Pulmonary Embolism: Current and Evolving Clinical Applications

  • Yoo Jin Hong;Jina Shim;Sang Min Lee;Dong Jin Im;Jin Hur
    • Korean Journal of Radiology
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    • 제22권9호
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    • pp.1555-1568
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    • 2021
  • Pulmonary embolism (PE) is a potentially fatal disease if the diagnosis or treatment is delayed. Currently, multidetector computed tomography (MDCT) is considered the standard imaging method for diagnosing PE. Dual-energy CT (DECT) has the advantages of MDCT and can provide functional information for patients with PE. The aim of this review is to present the potential clinical applications of DECT in PE, focusing on the diagnosis and risk stratification of PE.

Radiological Alert Network of Extremadura (RAREx) at 2021:30 years of development and current performance of real-time monitoring

  • Ontalba, Maria Angeles;Corbacho, Jose Angel;Baeza, Antonio;Vasco, Jose;Caballero, Jose Manuel;Valencia, David;Baeza, Juan Antonio
    • Nuclear Engineering and Technology
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    • 제54권2호
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    • pp.770-780
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    • 2022
  • In 1993 the University of Extremadura initiated the design, construction and management of the Radiological Alert Network of Extremadura (RAREx). The goal was to acquire reliable near-real-time information on the environmental radiological status in the surroundings of the Almaraz Nuclear Power Plant by measuring, mainly, the ambient dose equivalent. However, the phased development of this network has been carried out from two points of view. Firstly, there has been an increase in the number of stations comprising the network. Secondly, there has been an increase in the number of monitored parameters. As a consequence of the growth of RAREx network, large data volumes are daily generated. To face this big data paradigm, software applications have been developed and implemented in order to maintain the indispensable real-time and efficient performance of the alert network. In this paper, the description of the current status of RAREx network after 30 years of design and performance is showed. Also, the performance of the graphing software for daily assessment of the registered parameters and the automatic on real time warning notification system, which aid with the decision making process and analysis of values of possible radiological and non-radiological alterations, is briefly described in this paper.

원자력시설 해체부지의 재이용을 위한 방사선학적 리스크 평가모델 (A Mathematical Model to Evaluate the Radiological Risks for the Reuse of Decommissioning Site)

  • 정재학
    • 방사성폐기물학회지
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    • 제4권4호
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    • pp.353-363
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    • 2006
  • 원자력시설 해체부지를 재이용하는 과정에서 유발될 수 있는 방사선학적 리스크를 사전에 선별하기 위한 목적으로 단순화된 방사선량 평가모델을 개발하고, 이를 Microsoft $Excel{\circledR}$ 스프레드시트와 내장된 Visual Basic 및 마크로 기능을 활용하여 기능별로 모듈화된 평가도구를 구현하였다. 이와 함께 부지 특성자료가 불충분할 경우 신속한 사전평가를 위해 적용할 수 있는 일련의 입력변수 값 목록을 제안하였다. 동일한 조건에서 이 연구에서 개발된 평가도구를 이용해 유도한 사전 선별준위가 RESRAD Ver.6.2를 이용해 계산된 유도농도지침한계 및 독일 방사선방호령에 규정된 핵종별 부지 재이용 기준농도를 합리적으로 근사할 수 있음을 확인하였다.

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일반촬영분야에서의 3D 프린터로 제작한 텅스텐 혼합 필라멘트 차폐체의 성능평가 (Evaluation of Tungsten Blended Filament Shields Made by 3D Printer in Radiography)

  • 윤준;윤명성
    • 대한방사선기술학회지:방사선기술과학
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    • 제44권6호
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    • pp.615-621
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    • 2021
  • In the medical field, radiation provides information for the diagnosis and treatment of diseases. As the use of radiation increases and the risk of exposure increases, interest in radiation protection is also rapidly increasing. Lead shielding material is mainly used, which has a risk of lead poisoning and absorption into the body. Tungsten mixed filament shielding sheets were fabricated with a size of 70 × 70 mm and a thickness of 1, 2, and 4 mm by using a 3D printer. In the general shooting experiment, the thickness of the shielding sheet is 1 ~ 5mm, the tube voltage is 60, 80, 100, 120 kVp and the tube current is 20, 40 mAs. In general photography, Tungsten showed better shielding rate compared to Brass, Copper, and Lead protective tools under all irradiation conditions, and in particular, Tungsten 5 mm showed 100% shielding rate. The 3D-printed tungsten mixed filament shielding is expected to be used as a new shield that can replace the existing lead protection tools as it shows a better shielding rate than the existing lead protection tools in Radiography.

베이지안 기법에 의거한 중대형 방사선원의 분실 시 일반인에 대한 방사선 위험도의 평가 (Radiological Risk Assessment for the Public Under the Loss of Medium and Large Sources Using Bayesian Methodology)

  • 김주연;장한기;이재기
    • Journal of Radiation Protection and Research
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    • 제30권2호
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    • pp.91-97
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    • 2005
  • 베이지안 기법은 객관적 자료 이외에 주관적 지식도 평가에 반영하는 특성으로 인해 최근 PRA에서 널리 사용되고 있다. 본 연구에서는 비파괴검사 장비 분실에 대한 방사선 위험도를 평가하기 위해 베이지안 기법을 활용하였다. U.S. NRC에서 제시한 선원분실 피폭 시나리오를 국내 실정에 맞게 재구성하였고 안전인자의 사고발생 확률에 국한하여 적용하였다. 사고발생 확률수정의 경우 Jeffreys사전분포를 사용한 결과가 모호사전분포를 사용한 결과보다 5 % 베이즈 하한치가 더 낮아서 방사선 사고와 같은 낮은 사고발생 확률을 가지는 시스템에 대한 위험도 평가에 적합하다. 위험도의 결과를 보면 일반인의 연간 예상되는 평균선량은 베이지안 기법이 고전적인 기법에 의거한 평가보다 높은 선량을 나타내는데 이는 수정된 안전인자 확률의 평균이 고전적 확률 참보다 높게 평가된 것에 기인한다. 국내의 경우 방사선 위험도 평가를 위한 자료구축이 미비한 바 베이지안 기법은 위험도 평가에 유용한 대안으로 활용할 수 있으며 이러한 연구는 위험도 정보-기반 규제에 기여할 것이다.

Comparative Analysis of Terminology and Classification Related to Risk Management of Radiotherapy

  • Oh, Yoonjin;Kim, Dong Wook;Shin, Dong Oh;Koo, Jihye;Lee, Soon Sung;Choi, Sang Hyoun;Ahn, Sohyun;Park, Dong-wook
    • 한국의학물리학회지:의학물리
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    • 제27권3호
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    • pp.131-138
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    • 2016
  • We analyzed the terminology and classification related to the risk management of radiation treatment overseas to establish the terminology and classification system for Korea. This study investigated the terminology and classification for radiotherapy risk management through overseas research materials from related organizations and associations, including the IAEA, WHO, British group, EC, and AAPM. Overseas risk management commonly uses the terms "near miss", "incident", and "adverse event", classified according to the degree of severity. However, several organizations have ambiguous terminologies. They use the term "near miss" for events such as a near event, close call, and good catch; the term "incident" for an event; and the term "adverse event" for the likes of an accident and an event. In addition, different organizations use different classifications: a "near miss" is generally classified as "incident" in most cases but not classified as such in BIR et al. Confusion might also be caused by the disunity of the terminology and classification, and by the ambiguity of definitions. Patient safety management of medical institutions in Korea uses the terms "near miss", "adverse event", and "sentinel event", which it classifies into eight levels according to the severity of risk to the patient. Therefore, the terminology and classification for radiotherapy risk management based on the patient safety management of medical institutions in Korea will help in improving the safety and quality of radiotherapy.

Integrated Level 1-Level 2 decommissioning probabilistic risk assessment for boiling water reactors

  • Mercurio, Davide;Andersen, Vincent M.;Wagner, Kenneth C.
    • Nuclear Engineering and Technology
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    • 제50권5호
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    • pp.627-638
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    • 2018
  • This article describes an integrated Level 1-Level 2 probabilistic risk assessment (PRA) methodology to evaluate the radiological risk during postulated accident scenarios initiated during the decommissioning phase of a typical Mark I containment boiling water reactor. The fuel damage scenarios include those initiated while the reactor is permanently shut down, defueled, and the spent fuel is located into the spent fuel storage pool. This article focuses on the integrated Level 1-Level 2 PRA aspects of the analysis, from the beginning of the accident to the radiological release into the environment. The integrated Level 1-Level 2 decommissioning PRA uses event trees and fault trees that assess the accident progression until and after fuel damage. Detailed deterministic severe accident analyses are performed to support the fault tree/event tree development and to provide source term information for the various pieces of the Level 1-Level 2 model. Source terms information is collected from accidents occurring in both the reactor pressure vessel and the spent fuel pool, including simultaneous accidents. The Level 1-Level 2 PRA model evaluates the temporal and physical changes in plant conditions including consideration of major uncertainties. The goal of this article is to provide a methodology framework to perform a decommissioning Probabilistic Risk Assessment (PRA), and an application to a real case study is provided to show the use of the methodology. Results will be derived from the integrated Level 1-Level 2 decommissioning PSA event tree in terms of fuel damage frequency, large release frequency, and large early release frequency, including uncertainties.