• 한국방사선학회논문지
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• 제6권5호
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• pp.321-333
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• 2012

본 연구는 방사선사의 병원감염관리에 대한 인지도와 수행도를 파악하여 병원감염관리 방안의 개선 및 교육을 위한 기초자료를 제공하기 위해 실시한 연구이다. 연구대상자의 병원감염관리에 대한 인지도와 수행도의 평균 평점은 150점 만점으로 인지도 141.05점과 수행도 138.15점으로 모든 영역에서 인지도가 높을수록 수행도가 높은 정상관계를 보였으나 인지도에 비해 수행도가 전체적으로 낮음을 확인 할 수 있었다. 인지도에 영향을 미치는 요인으로는 감염관리 교육의 필요성, 감염예방 교육여부, 환자의 질병상태 인지 여부 등으로 통계적으로 유의하게 나타났고, 수행도에 영향을 미치는 요인으로는 감염예방 교육여부, 환자의 질병상태 인지여부, 인지도 등으로 통계적으로 유의하게 나타났다.

• 대한디지털의료영상학회논문지
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• 제9권2호
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• pp.5-9
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• 2007

As developing the medical treatment image portion with the change of these times, PACS, which is able to digitalize image portion data, has a lot of data-based image data. Applying this PACS, we would like to settle down RNSXI(real-name shooting X -ray of inspector) system. We interviewed with P ACS's operators of university hospitals which is using PACS in Seoul about the present conditions whether using of RNSXI or not. And we inquired the RNSXI equipments, applying PACS database, and Interface conditions undertook to do in our hospital. All university hospitals in Seoul are set up the P ACS system. But no hospital use the RNSXI. In our hospital, we can check inspector' name or initials who exposure x-ray with the PACS Viewer by looking over equipments(CR, DR, US, MG, MR, CT) and Interface of the DICOM Header data. However, some equipments like RF and Angio can not check inspector' name or initials. Under the Film/System environment, RNSXI system has been used frequently like that inspector's signature or initial added to a patient data. Though the digital medical treatment was developed, RNSXI system was declined. It is necessary to using RNSXI system in order to improving radiologists' rights, even if it is not under the application of the medical treatment image laws. If RNSXI system use, radiologists should specialize in their major and the Repeat rate should be reduced. In environment of PACS, RNSXI system can be used by linking both the equipments and the Interface with a production enterprise of P ACS. Therefore RNSXI system applying the P ACS datebase should settle down in our medical system for being provided lots of data.

• 대한방사선기술학회지:방사선기술과학
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• 제33권3호
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• pp.173-178
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• 2010

방사선 일반촬영은 크게 두 가지 유형으로 구분할 수 있는데 디지털 영상 시스템인 CR(Computed Radiography)과 DR(Digital Radiography)이 주로 활용되고 있다. 이 둘의 차이는 선량과 영상의 질 관점에서 정의할 수 있다. 본 연구에는 피부입사선량(Entrance Skin Dose, ESD)의 관점에서 환자에게 투여된 선량을 계산하고 비교하여 CR과 DR 간의 선량 차이를 연구하기 위해 8가지의 표준 영상의학적 검사(Skull AP, Skull LAT, Chest PA, Chest LAT, Abdomen AP, L-spine AP, L-spine LAT, Pelvis AP)가 고려되었다. 영상화질에 대한 평가는 진단방사선학적 영상을 위한 화질 기준에 부합하는지를 보증하기 위해 영상의학과 전문의에 의해 시행되었다. DR의 ESD는 CR의 ESD보다 낮다는 것이 확인되었다. 방사선 촬영을 담당한 방사선사가 동일인 이었고 CR과 DR의 영상 화질이 유사하거나 DR에서 조금 더 우수했기 때문에 본 연구는 고려된 검사 내에서 DR이 CR보다 선량 절감 차원에서 볼 때 더 우수한 기기라는 것을 보여준다.

• 핵의학기술
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• 제16권2호
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• pp.87-98
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• 2012

Purpose : This study aims to examine hospital employees' subjective symptoms of VDT syndrome (Video display terminal syndrome) and figure out their effects on health conditions and correlations. Materials and Methods : This study used a structured self-administering questionnaire and gained data from 125 subjects. The questionnaire consists of total 62 questions, and they went through real number, percentage, ${\chi}^2$-terst, t-test, one-way ANOVA, and logistic regression analysis. Results : Regarding the difference in the types of subjective symptoms of VDT syndrome by jobs, there was statistically significant difference in ophthalmic symptoms, systemic symptoms, and musculoskeletal symptoms. About the correlation between the subjective symptom points of VDT syndrome by the types of symptoms, there was statistically significant correlation all in skin trouble, backache, upper limb muscle pain, lower limb muscle pain, fatigue in the head and eyes, and depression or anxiety disorders. There was significant correlation between the subjective symptom points of VDT syndrome and subjective health conditions. Conclusion : Hospital employees' subjective health conditions had significant correlation with subjective symptom points of VDT syndrome. This result shows that as radiologists' and also other hospital employees' working conditions change into VDT environment, VDT syndrome gradually appears more and more. This implies that it is needed to designate not only radiologists but also all the other hospital employees as jobs exposed to the working environment of VDT syndrome and provide preventive measures, education, and publicity for it afterwards.

• Imaging Science in Dentistry
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• 제37권3호
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• pp.139-147
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• 2007

Purpose: To assess bone changes of mandibular condyle using cone beam computed tomography (CBCT) in temporomandibular disorder (TMD) patients. Materials and Methods: 314 temporomandibular joints (TMJs) images of 163 TMD patients were examined at the Department of Oral and Maxillofacial Radiology, Chonbuk National University. The images were obtained by PSR9000N (Asahi Roentgen Co., Japan) and reconstructed by using Asahivision software (Asahi Roentgen Co., Japan). The CBCT images were examined three times with four weeks interval by three radiologists. Bone changes of mandibular condyle such as flattening, sclerosis, erosion and osteophyte formation were observed in sagittal, axial, coronal and 3 dimensional images of the mandibular condyle. The statistical analysis was performed using SPSS 12.0. Intra- and interobserver agreement were performed by 3 radiologists without the knowledge of clinical information. Results: Osteophyte (2.9%) was found more frequently on anterior surface of the mandibular condyle. Erosion (31.8%) was found more frequently on anterior and medial surfaces of the mandibular condyle. The intraobserver agreement was good to excellent (k=0.78-0.84), but interobserver agreement was fair (k=0.45). Conclusion: CBCT can provide high qualified images of bone changes of the TMJ with axial, coronal and 3 dimensional images.

• 한국멀티미디어학회논문지
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• 제13권5호
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• pp.702-709
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• 2010

Mass형 종양 분할의 성능은 mass의 초기 위치에 큰 영향을 받는다. 따라서 몇몇의 논문들은 방사선 전문의로부터 획득한 mass의 초기 위치를 이용하여 종양의 분할을 진행하였다. 그러나, 본 논문은 mass 검출을 위한 부가정보 없이 디지털 마모그램만을 이용한 컴퓨터 지원 진단 시스템을 구성하여 방사선 전문의에게 mass로 추정되는 곳의 위치를 제시함을 목표로 한다. 제안된 시스템은 영역 확장 기법과 열림 연산을 통한 유방 영역 분할, 분할된 유방영역에서 mass 특성을 갖는 위치의 시드 설정, 설정된 시드 기반 레벨 셋을 통한 mass 영역 분할로 구성된다. Mass 분할을 위한 시드 설정은 부표본화된 유방영상에 대해 블록기반 분산 정보와 마스킹 정보를 이용하는 Mass Scoring Measure(MSM) system을 통하여 수행되었다. 테스트에 사용된 이미지는 DDSM 데이터베이스를 사용하였으며, 실험 결과 종양검출의 정확도는 4 FP/image에서 78%의 민감도를 나타내었고, 상하방향(CC)과 내외사방향(MLO) 이미지를 동시 고려시 92%의 민감도를 보였다.

• 치과방사선
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• 제29권1호
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• pp.21-32
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• 1999

Purpose: To evaluate the effect of variable scanning protocols of computed tomography for evaluation of pre-implant site of the mandible through the comparison of the reformatted cross-sectional images of helical CT scans obtained with various imaging parameters versus those of conventional CT scans. Materials and Methods: A dry mandible was imaged using conventional nonoverlapped CT scans with 1 mm slice thickness and helical CT scans with 1 mm slice thickness and pitches of 1.0, 1.5. 2.0, 2.5 and 3.0. All helical images were reconstructed at reconstruction interval of 1 mm. DentaScan reformatted images were obtained to allow standardized visualization of cross-sectional images of the mandible. The reformatted images were reviewed and measured separately by 4 dental radiologists. The image qualities of continuity of cortical outline. trabecular bone structure and visibility of the mandibular canal were evaluated and the distance between anatomic structures were measured by 4 dental radiologists. Results: On image qualities of continuity of cortical outline. trabecular bone structure and visibility of the mandibular canal and in horizontal measurement. there was no statistically significant difference among conventional and helical scans with pitches of 1.0. 1.5 and 2.0. In vertical measurement. there was no statistically significant difference among the conventional and all imaging parameters of helical CT scans with pitches of 1.0, 1.5, 2.0, 2.5 and 3.0. Conclusion: The images of helical CT scans with 1 mm slice thickness and pitches of 1.0, 1.5 and 2.0 are as good as those of conventional CT scans with 1 mm slice thickness for evaluation of predental implant site of the mandible. Considering the radiation dose and patient comfort, helical CT scans with 1 mm slice thickness and pitch of 2.0 is recommended for evaluation of pre-implant site of the mandible.

• 치과방사선
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• 제28권1호
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• pp.261-269
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• 1998

With the CT findings as gold standard, the sensitivity, the specificity, and the diagnostic accuracy of Waters' radiography and Waters' radiography with panoramic radiography were compared in the diagnosis of antral mucosal thickening of 16 patients. Three oral radiologists and three non-oral radiologists interpreted the Waters' radiographs and after 4 weeks, interpreted the Waters' radiographs and panoramic radiographs simultaneously. The interpretation point was the existence or the non-existence of the mucosal thickening on the medial, the posterolateral, the floor, and the roof of maxillary sinus. The obtained results were as followed : 1. In oral radiologist group, the sensitivity, specificity and diagnostic accuracy of Waters' film were 0.7250, 0.8489 and 0.7578 respectively. 2. The sensitivity and the diagnostic accuracy in oral radiologist group were higher than those of non-oral radiologist group (P<0.05), but there was no significant difference between two groups in the specificity (P>0.05), 3. There was no significant difference of the diagnostic abilities except the specificity in oral radiologist group between Waters' radiography and Waters' radiography with panoramic radiography (P>0.05). 4. The sensitivity and the diagnostic accuracy were the highest in the case of medial wall interpretation, the specificity was the highest in the posterolateral wall. 5. In the posterolateral wall and the floor, the sensitivity and the diagnostic accuracy of oral radiologist group were higher than those of non-oral radiologist group (P<0.05).

• Anatomy and Cell Biology
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• 제51권4호
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• pp.232-235
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• 2018

Portal vein provides about three-fourths of liver's blood supply. Portal vein is formed behind the neck of pancreas, at the level of the second lumbar vertebra and formed from the convergence of superior mesenteric and splenic veins. The purpose of this study is to review the normal distribution and variation, morphometry of portal vein and its branches for their implication in liver surgery and preoperative portal vein embolization. It is also helpful for radiologists while performing radiological procedures. A total of fresh 40 livers with intact splenic and superior mesenteric vein were collected from the mortuary of Forensic Department, JSS Medical College and Mysuru Medical College. The silicone gel was injected into the portal vein and different segments were identified and portal vein variants were noted. The morphometry of portal vein was measured by using digital sliding calipers. The different types of portal vein segmental variants were observed. The present study showed predominant type I in 90% cases, type II 7.5% cases, and type III 2.5% cases. Mean and standard deviation (SD) of length of right portal vein among males and females were $2.096{\pm}0.602cm$ and $1.706{\pm}0.297cm$, respectively. Mean and SD of length of left portal vein among males and females were $3.450{\pm}0.661cm$ and $3.075{\pm}0.632cm$, respectively. The difference in the Mean among the males and females with respect to length of right portal vein and left portal vein was found to be statistically significant (P=0.010). Prior knowledge of variations regarding the formation, termination and tributaries of portal vein are very helpful and important for surgeons to perform liver surgeries like liver transplantation, segmentectomy and for Interventional Radiologists.

• Investigative Magnetic Resonance Imaging
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• 제23권2호
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• pp.100-113
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• 2019

Sarcoidosis is a multisystem disease characterized by noncaseating granulomas. Cardiac involvement is known to have poor prognosis because it can manifest as a serious condition such as the conduction abnormality, heart failure, ventricular arrhythmia, or sudden cardiac death. Although early diagnosis and early treatment is critical to improve patient prognosis, the diagnosis of CS is challenging in most cases. Diagnosis usually relies on endomyocardial biopsy (EMB), but its diagnostic yield is low due to the incidence of patchy myocardial involvement. Guidelines for the diagnosis of CS recommend a combination of clinical, electrocardiographic, and imaging findings from various modalities, if EMB cannot confirm the diagnosis. Especially, the role of advanced imaging such as cardiac magnetic resonance (CMR) imaging and positron emission tomography (PET), has shown to be important not only for the diagnosis, but also for monitoring treatment response and prognostication. CMR can evaluate cardiac function and fibrotic scar with good specificity. Late gadolinium enhancement (LGE) in CMR shows a distinctive enhancement pattern for each disease, which may be useful for differential diagnosis of CS from other similar diseases. Effectively, T1 or T2 mapping techniques can be also used for early recognition of CS. In the meantime, PET can detect and quantify metabolic activity and can be used to monitor treatment response. Recently, the use of a hybrid CMR-PET has introduced to allow identify patients with active CS with excellent co-localization and better diagnostic accuracy than CMR or PET alone. However, CS may show various findings with a wide spectrum, therefore, radiologists should consider the possible differential diagnosis of CS including myocarditis, dilated cardiomyopathy (DCM), hypertrophic cardiomyopathy, amyloidosis, and arrhythmogenic right ventricular cardiomyopathy. Radiologists should recognize the differences in various diseases that show the characteristics of mimicking CS, and try to get an accurate diagnosis of CS.